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

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

Author Maluf, Miguel Angel Autor UNIFESP Google Scholar
Mangia, Cristina Malzoni Ferreira Autor UNIFESP Google Scholar
Diogenes, Maria Suely Bezerra Autor UNIFESP Google Scholar
Carvalho, A. Google Scholar
Buffolo, Enio Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract 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 How 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.
Keywords pulmonary artery
coronary artery
cardiac surgical procedures
Language English
Date 2004-12-01
Published in Journal Of Cardiovascular Surgery. Turin: Edizioni Minerva Medica, v. 45, n. 6, p. 577-579, 2004.
ISSN 0021-9509 (Sherpa/Romeo, impact factor)
Publisher Edizioni Minerva Medica
Extent 577-579
Origin https://www.minervamedica.it/en/journals/cardiovascular-surgery/article.php?cod=R37Y2004N06A0577
Access rights Closed access
Type Article
Web of Science ID WOS:000228056200009
URI http://repositorio.unifesp.br/11600/44227

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