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J Thorac Cardiovasc Surg 2004;128:641-642
© 2004 The American Association for Thoracic Surgery

Brief communication

Two-conduit repair for anomalous origin of the left coronary artery from the pulmonary artery in an adult

^a Department of Cardiothoracic Surgery, John Radcliffe Hospital, Oxford, United Kingdom

Received for publication February 24, 2004; accepted for publication March 26, 2004.

^* Address for reprints: Ravi Pillai, FRCS, Department of Cardiothoracic Surgery, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, United Kingdom
ravi.pillai@nds.ox.ac.uk

The first 20% of the full text of this article appears below.

Drs Kattach, Anastasiadis, Jin, Pillai

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) presenting in adult life is rare. Although it is surgically treated in most cases, the preferred procedure offering the best short- and long-term outcomes is still unknown. We present the case of a patient who was successfully treated by a 2-conduit repair.

Clinical summary

A 41-year-old previously healthy man presented with acute onset chest pain and left bundle branch block on his electrocardiogram. No increase of cardiac enzymes was detected. Echocardiogram showed a dilated and severely impaired left ventricle, but all valves were normal. Cardiac catheterization demonstrated a grossly dilated right coronary artery. The contrast material retrogradely filled a dilated left coronary system through . . . [Full Text of this Article]

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