Related Experiment Video

Updated: May 10, 2025

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

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Anomalous Origin of the Left Main Coronary Artery from the Right Coronary Sinus

Devesh Kumar1, Kartik Aggarwal2, Saurav Suman2

  • 1Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.

Cureus
|April 22, 2025
PubMed

Insights

An elderly patient with severe coronary artery disease and a rare left main coronary artery anomaly underwent successful coronary artery bypass grafting and left main re-implantation, highlighting the importance of timely intervention.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Imaging

Background:

  • Coronary artery anomalies are rare congenital defects that can lead to significant cardiovascular events.
  • Obstructive triple vessel disease often requires complex revascularization strategies.

Observation:

  • An elderly male patient presented with exertional angina and dyspnea (NYHA class 3).
  • Diagnostic evaluation revealed severe obstructive triple vessel disease and an anomalous origin of the left main coronary artery from the right coronary sinus.
  • The anomalous left main artery coursed anterior to the pulmonary artery, presenting a unique anatomical challenge.

Findings:

  • The patient underwent successful coronary artery bypass grafting with three grafts.
  • Re-implantation of the anomalous left main coronary artery to the left coronary sinus was performed.
  • The patient experienced an uneventful recovery with no postoperative complications.

Implications:

  • This case underscores the importance of recognizing and managing complex coronary artery anomalies in elderly patients.
  • Timely diagnosis and surgical intervention are crucial for favorable outcomes in such cases.
  • The successful surgical repair demonstrates the feasibility of complex coronary artery bypass grafting and re-implantation for challenging anatomical variations.

Keywords:
anomalous coronary artery origincomputed tomography coronary angiography (ctca)high risk anatomyischemiarefractory anginareimplantation of the left main coronary

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