Superior pulmonary arterial flap for the repair of the left coronary artery from the non-facing pulmonary sinus.

OBJECTIVES

The anomalous left coronary artery arising from the non-facing pulmonary sinus origin is uncommon but poses a great challenge as its distance precludes direct aortic implantation. We describe an innovative technique for aortic implantation of this anomaly in a 2-month-old infant.

METHODS

Using a longitudinal pulmonary arterial flap, coronary tube extension was constructed without pulmonary commissure disturbance.

RESULTS

Myocardial recovery after 2-coronary artery system restoration was excellent.

CONCLUSIONS

With this approach, coronary transfer using autologous tissue with growth potential is possible.