Home > Journals > The Journal of Cardiovascular Surgery > Past Issues > The Journal of Cardiovascular Surgery 2004 December;45(6) > The journal of Cardiovascular Surgery 2004 December;45(6):577-9

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

TECHNICAL NOTES  CARDIAC SECTION 

The journal of Cardiovascular Surgery 2004 December;45(6):577-9

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Anomalous left coronary artery from pulmonary artery: autogenous arterial tube for aortic implantation

Maluf M. A., Mangia C. M., Diógenes M. S., Carvalho A., Buffolo E.

Division of Cardiovascular Surgery Universidade Federal de São Paulo (UNIFESP) São Paulo, Brazil


PDF


Many surgical procedures for the implantation of anomalous left coronary artery from pulmonary artery have been described. A dual coronary system offers most benefit and is most advantageous for the patient. Two autogenous flaps of the pulmonary trunk and ascending aorta, without mobilizing the coronary artery, were created for use in this procedure. This technique was successfully used in an 8 month-old patient with severe myocardial dysfunction and moderate mitral regurgitation. This procedure allows 2 coronary systems to be repaired for any anatomic change of the left coronary artery without the use of prosthetic material. There were no technical complications. During the postoperative course minimal inotropic support was used. The magnetic resonance study, 11 months postoperative, showed wood flow of the left coronary artery and mild mitral regurgitation. The operative technique was simple and its execution easy. The follow-up in the intermediate and late period showed the growth of this endothelized tube.

top of page