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Repair of Anomalous Left Coronary Artery from the Right Pulmonary Artery

The Royal Hospital for Children, Bristol, United Kingdom

For reprint information contact: Paul Modi, FRCS, Tel: 44 117 928 2979, Fax: 44 117 929 9737, Email: paulmodi{at}doctors.org.uk, The Royal Hospital for Children, Bristol, BS2 8HW, United Kingdom.

Surgical correction of anomalous left coronary artery from the right pulmonary artery is achieved by either direct implantation of the left coronary artery into the aorta or creation of a conduit between the two. We modified a technique originally described by Tashiro for the main pulmonary artery, by using a circumferential section of right pulmonary artery wall to create a conduit with a side-to-side anastomosis onto the aorta.