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Anomalous Left Coronary Artery: Modified Direct Aortic Implantation

Department of Cardiac Surgery
¹ Department of Cardiology, Al Mafraq Hospital, Abu Dhabi, UAE

For reprint information contact: Ivatury Mrutyunjaya Rao, MCh Tel: 971 2 503 1336 Fax: 971 2 582 1549 email: imrao{at}emirates.net.ae Department of Cardiac Surgery, Al Mafraq Hospital, P.O. Box 2951, Abu Dhabi, UAE.

The technique of direct transfer of an anomalous left coronary artery from the pulmonary artery to the aorta was modified. Using part of the lateral and anterior wall of the pulmonary artery as a flap in continuity with the coronary button as part of the transfer, a tension-free anastomosis is possible. This technique was employed in 3 consecutive infants, with good outcome.