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J Thorac Cardiovasc Surg 2009;138:777-778
© 2009 The American Association for Thoracic Surgery

Brief Technique Report

Technical options for the treatment of anomalous origins of right or left coronary arteries associated with aortopulmonary windows

Department of Pediatric Cardiac Surgery, Centre Chirurgical Marie-Lannelongue, Le Plessis-Robinson, France

Received for publication March 26, 2008; accepted for publication July 5, 2008.

^_* Address for reprints: Alain Serraf, MD, PhD, Department of Pediatric Cardiac Surgery, Centre Chirurgical Marie-Lannelongue, 133 avenue de la Résistance, 92350 Le Plessis-Robinson, France. (Email: a.serraf@ccml.fr).

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

	Introduction

 
The association of an aortopulmonary window (APW) and an anomalous origin of a coronary artery is an exceptional condition with pathophysiologic specificities that make its preoperative diagnosis difficult. We report 2 new cases of APW with anomalous origin of either the right coronary artery (RCA) or the left coronary artery (LCA) and discuss surgical options for their repair.

	Clinical Summary

 
A 8-year-old girl (17 kg) was admitted for an APW revealed by a systolic murmur. Electrocardiogram showed a sinus rhythm and no ischemic sign. The chest radiograph demonstrated increased pulmonary vascularization, and the cardiothoracic ratio was 0.7. The echocardiography demonstrated a left ventricular dilatation, low-grade mitral and aortic regurgitations, a large APW, and a severe pulmonary hypertension. The origin of the LCA was identified in a normal position, but the origin of the RCA was not seen. Under normothermic cardiopulmonary bypass, after a vertical aortotomy, the left ostium was seen in the left sinus and the right ostium was located on . . . [Full Text of this Article]

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Technical options for the treatment of anomalous origins of right or left coronary arteries associated with aortopulmonary windows

Hakan Aydin and Ali Kutsal
J. Thorac. Cardiovasc. Surg. 2010 139: 801-802. [Extract] [Full Text] [PDF]

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				C. Pace Napoleone, G. Oppido, E. Angeli, S. Turci, and G. Gargiulo Aortopulmonary Window and Anomalous Coronary Artery: An Exceptional Association Ann. Thorac. Surg., April 1, 2011; 91(4): 1272 - 1274. [Abstract] [Full Text] [PDF]

				B. Leobon Reply to the Editor J. Thorac. Cardiovasc. Surg., March 1, 2010; 139(3): 802 - 802. [Full Text] [PDF]

				H. Aydin and A. Kutsal Technical options for the treatment of anomalous origins of right or left coronary arteries associated with aortopulmonary windows J. Thorac. Cardiovasc. Surg., March 1, 2010; 139(3): 801 - 802. [Full Text] [PDF]