Superior pulmonary arterial flap for the repair of the left coronary artery from the non-facing pulmonary sinus

Abstract

© The Author(s) 2018. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. OBJECTIVES The anomalous left coronary artery arising from the non-facing pulmonary sinus origin is uncommon but poses a great challenge as its distance precludes direct aortic implantation. We describe an innovative technique for aortic implantation of this anomaly in a 2-month-old infant. METHODS Using a longitudinal pulmonary arterial flap, coronary tube extension was constructed without pulmonary commissure disturbance. RESULTS Myocardial recovery after 2-coronary artery system restoration was excellent. CONCLUSIONS With this approach, coronary transfer using autologous tissue with growth potential is possible.