Van der Mieren Gerry, Van Kerrebroeck Christiaan, Gutermann Herbert, Dion Robert
Department of Cardiac Surgery, Hospital ZOL Genk, Schiepse Bos 6, 3600 Genk, Belgium.
Interact Cardiovasc Thorac Surg. 2011 Oct;13(4):424-6. doi: 10.1510/icvts.2011.276592. Epub 2011 Jul 28.
A malign intramural course of the left main coronary artery is a rare anatomical anomaly. Surgical repair is mandatory since the condition is associated with myocardial ischemic syndromes and sudden death. Unroofing the intramural part and reconstructing a neo-ostium is challenging if the neo-ostium is immediately adjacent to the intercoronary commissure as there is a risk of narrowing the newly created ostium. We report a case in which we performed a surgical angioplasty of the left main coronary artery in combination with unroofing of the intramural section and resuspension of the intercoronary commissure.
