Document Detail


Anomalous left coronary artery from pulmonary artery: autogenous arterial tube for aortic implantation.
MedLine Citation:
PMID:  15746639     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Many surgical procedures for the implantation of anomalous left coronary artery from pulmonary artery have been described. A dual coronary system offers most benefit and is most advantageous for the patient. Two autogenous flaps of the pulmonary trunk and ascending aorta, without mobilizing the coronary artery, were created for use in this procedure. This technique was successfully used in an 8 month-old patient with severe myocardial dysfunction and moderate mitral regurgitation. This procedure allows 2 coronary systems to be repaired for any anatomic change of the left coronary artery without the use of prosthetic material. There were no technical complications. During the postoperative course minimal inotropic support was used. The magnetic resonance study, 11 months postoperative, showed wood flow of the left coronary artery and mild mitral regurgitation. The operative technique was simple and its execution easy. The follow-up in the intermediate and late period showed the growth of this endothelized tube.
Authors:
M A Maluf; C M Mangia; M S Diógenes; A E Carvalho; E Buffolo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  45     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2005-03-04     Completed Date:  2005-04-05     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  577-9     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil. mamaluf@directnet.com.br
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / methods
Aorta / surgery*
Cardiac Surgical Procedures / methods*
Coronary Circulation / physiology
Coronary Vessel Anomalies / physiopathology,  surgery*
Humans
Infant
Male
Pulmonary Artery / surgery*
Surgical Flaps

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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