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John S. K. Murala
Madhu N Sankar
Ravi Agarwal
Kotturathu M Cherian
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Asian Cardiovasc Thorac Ann 2006;14:38-42
© 2006 Asia Publishing EXchange Ltd


ORIGINAL CONTRIBUTION

Anomalous Origin of Left Coronary Artery from Pulmonary Artery in Adults

John S. K. Murala, MCh, Madhu N Sankar, PhD, Ravi Agarwal, MCh, Prasad N Golla, DNB1, Pradeep G Nayar, DNB1, Kotturathu M Cherian, FRACS

Department of Cardiothoracic Surgery
1 Department of Cardiology, International Centre for Cardiothoracic and Vascular Diseases, Chennai, India

For reprint information contact: Kotturathu M Cherian, FRACS, Tel: 91 44 2656 7200, Fax: 91 44 2656 5150, Email: drkmc{at}md3.vsnl.net.in, International Centre for Cardiothoracic and Vascular Diseases (A Unit of Frontier LifeLine), R 30 C Ambattur Industrial Estate Road, Mogappair, Chennai 600 101, India.

Various techniques have been described for management of anomalous origin of the left coronary artery from the pulmonary artery presenting in adults. Three patients, 1 male and 2 females, aged 27–37 years, underwent transpulmonary pericardial patch closure with concomitant left internal thoracic artery anastomosis to the left anterior descending artery, under standard cardiopulmonary bypass, thus creating a two-coronary system. One patient had concomitant mitral valve repair. All 3 survived the operation. Postoperative angiography in 2 patients revealed good antegrade flow with decreased collaterals in one and competitive inhibition with increased collaterals in the other. This procedure is considered to be the safest and simplest in this subset of patients.




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Asian Cardiovasc. Thorac. Ann.Home page
S. K Choudhary, S. Talwar, A. Saxena, and B. Airan
LEFT MAIN CORONARY STENOSIS OR LEFT CORONARY ARTERY FROM PULMONARY ARTERY?
Asian Cardiovasc Thorac Ann, October 1, 2006; 14(5): 445 - 445.
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