Reimplantation of an anomalous left coronary artery with a malignant course

A 14-year-old boy was diagnosed with an anomalous left coronary artery coursing between the ascending aorta and the main pulmonary artery and associated with a single coronary ostium. Owing to the high risk of sudden cardiac death, surgery was performed although he was asymptomatic with no sign of m...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2018-07, Vol.26 (6), p.473-475
Main Authors: Imoto, Yutaka, Matsuba, Tomoyuki, Kanda, Hideaki, Ogata, Yuki, Nagatomi, Shuji, Ueno, Kentaro
Format: Article
Language:English
Subjects:
Adolescent
Anastomosis, Surgical - methods
Aorta - surgery
Blood Vessel Prosthesis
Coronary Angiography
Coronary Vessel Anomalies - diagnosis
Coronary Vessel Anomalies - surgery
Coronary Vessels - diagnostic imaging
Coronary Vessels - surgery
Humans
Male
Replantation - methods
Tomography, X-Ray Computed
Vascular Surgical Procedures
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Summary:A 14-year-old boy was diagnosed with an anomalous left coronary artery coursing between the ascending aorta and the main pulmonary artery and associated with a single coronary ostium. Owing to the high risk of sudden cardiac death, surgery was performed although he was asymptomatic with no sign of myocardial ischemia. Reimplantation of an anomalous left coronary artery is generally considered difficult because an aortic cuff is unavailable for coronary anastomosis; however, we accomplished a successful direct reimplantation in this patient. This procedure offers another choice in the surgical treatment of anomalous left coronary artery.
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492318782263