TY - JOUR
T1 - Anomalous origin of the left main coronary artery
T2 - Anatomical correction and concomitant LIMA-to-LAD grafting
AU - Wolf, Tamir
AU - Bolotin, Gil
AU - Ammar, Ronnie
AU - Uretzky, Gideon
PY - 1999/1
Y1 - 1999/1
N2 - A 55-year-old woman with angina pectoris and exertional dyspnea underwent surgical correction of an anomalous left main coronary artery (LMCA) originating from the right sinus of Valsalva. During the operation, the roof of the intramurally coursing LMCA was opened into the aortic lumen, and a neo-coronary ostium was created by suturing the circumference of the LMCA intima to the aortic intima. In addition, a left internal mammary artery (LIMA) to left anterior descending (LAD) coronary artery anastomosis was performed. Postoperative coronary angiography demonstrated two independent, patent orifices of both the LMCA and the right coronary artery. The technique presented herein, of combined anatomical correction and LIMA-to-LAD grafting, is feasible and leads to distinct angiographic and clinical improvement.
AB - A 55-year-old woman with angina pectoris and exertional dyspnea underwent surgical correction of an anomalous left main coronary artery (LMCA) originating from the right sinus of Valsalva. During the operation, the roof of the intramurally coursing LMCA was opened into the aortic lumen, and a neo-coronary ostium was created by suturing the circumference of the LMCA intima to the aortic intima. In addition, a left internal mammary artery (LIMA) to left anterior descending (LAD) coronary artery anastomosis was performed. Postoperative coronary angiography demonstrated two independent, patent orifices of both the LMCA and the right coronary artery. The technique presented herein, of combined anatomical correction and LIMA-to-LAD grafting, is feasible and leads to distinct angiographic and clinical improvement.
KW - Anatomical correction
KW - Anomalous coronary artery
KW - Grafting
UR - http://www.scopus.com/inward/record.url?scp=0032918111&partnerID=8YFLogxK
U2 - 10.1016/S1010-7940(98)00307-8
DO - 10.1016/S1010-7940(98)00307-8
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C2 - 10219557
AN - SCOPUS:0032918111
SN - 1010-7940
VL - 15
SP - 209
EP - 212
JO - European Journal of Cardio-thoracic Surgery
JF - European Journal of Cardio-thoracic Surgery
IS - 2
ER -
