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Reoperation for correction of anomalous origin of the left coronary artery from the pulmonary artery with return of left ventricular function

✍ Scribed by Savage, Rodney W. ;Glover, Matthew U. ;Utley, Joe R.

Publisher
John Wiley and Sons
Year
1984
Tongue
English
Weight
742 KB
Volume
10
Category
Article
ISSN
0098-6569

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✦ Synopsis

An adult patient is presented in whom anomalous origin of the left coronary artery from the pulmonary artery was diagnosed in infancy. Initial treatment included a palliative poudrage procedure. Resulting widespread, dense adhesions were encountered during reoperation in adulthood and precluded direct reimplantation of the left coronary artery into the aorta. instead, a tunnel within the pulmonary artery was constructed from the aorta to the left coronary ostium using a baffle of woven Dacron. Preoperative and postoperative studies showed improvement in ejection fraction and resolution of diaphragmatic hypokinesis.

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