scholarly journals First Use of Coronary Stenting in a Previously Undescribed Coronary Anomaly: Left Coronary Artery Arising from the Right Ventricular Outflow Tract

2017 ◽  
Vol 26 ◽  
pp. S207
Author(s):  
S. Clugston ◽  
C. Murray ◽  
A. Morton
Author(s):  
Waleed Albadi ◽  
Bernard Kreitmann ◽  
François Roubertie

Abstract The anomalous origin of the left coronary artery from the pulmonary artery in the position of a non-facing coronary sinus is extremely rare. The anatomical position of the ectopic ostia will determine which is the appropriate operative approach to create a dual-coronary supply. This report describes a technique of modified extra-anatomical rerouting using autologous pericardium patch and pulmonary artery flap to create a neo-composite coronary trunk passing anterior to the right ventricular outflow tract.


2020 ◽  
Vol 11 (3) ◽  
pp. 343-345 ◽  
Author(s):  
Kaoutar Benjaout ◽  
Julia Mitchell ◽  
Julie Gauthier ◽  
Jean Ninet

Between 1983 and 2016, we operated on 14 children with tetralogy of Fallot with an anomalous coronary artery crossing the pulmonary infundibulum, which is an anomaly that makes the repair complex. The technique used was the enlargement of the right ventricular outflow tract underneath the mobilized coronary artery. All patients had right ventricular outflow tract relief without coronary artery injury. Only one patient required the use of an extracardiac conduit. There was neither in-hospital mortality nor coronary anomaly requiring reintervention. Mobilizing the anomalous coronary artery in tetralogy of Fallot repair often allows relief of obstruction without using an extracardiac conduit.


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