Adachi Iki, Kagisaki Koji, Yagihara Toshikatsu, Hagino Ikuo, Ishizaka Toru, Kobayashi Junjiro, Kitamura Soichiro
Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Osaka, Japan.
Ann Thorac Surg. 2008 Feb;85(2):675-7. doi: 10.1016/j.athoracsur.2007.06.085.
We report an operative case of the anomalous origin of the left coronary artery from the right pulmonary artery with aortic intramural course. This particular anatomy was clearly identified with a preoperative angiogram. The restoration of the two-coronary system was accomplished by unroofing the intramural segment into the left sinus of Valsalva with encouraging midterm results. The details of this anatomical correction are described with a review of the literature.
