Anomalous left coronary artery from the pulmonary artery: modified extra-anatomic reimplantation
Waleed Albadi1, Bernard Kreitmann1, François Roubertie1
1Department of Cardiovascular Surgery, Bordeaux Heart University Hospital, Pessac, France.
Abstract:
The anomalous origin of the left coronary artery from the pulmonary artery in the position of a non-facing coronary sinus is extremely rare. The anatomical position of the ectopic ostia will determine which is the appropriate operative approach to create a dual-coronary supply. This report describes a technique of modified extra-anatomical rerouting using autologous pericardium patch and pulmonary artery flap to create a neo-composite coronary trunk passing anterior to the right ventricular outflow tract.


