Chanyapat KaewsaengeakTeerapong TocharoenchokMahidol University2019-08-282019-08-282018-06-01Interactive Cardiovascular and Thoracic Surgery. Vol.26, No.6 (2018), 902-90515699285156992932-s2.0-85048091318https://repository.li.mahidol.ac.th/handle/20.500.14594/46599© 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.Mahidol UniversityMedicineArticleSCOPUS10.1093/icvts/ivy013