Anomalous left coronary artery from the pulmonary artery: creating an autogenous arterial conduit for aortic implantation

Anomalous origin of the left coronary artery from the pulmonary artery requ ires surgical correction. A surgical technique is presented. Two infants un derwent re-implantation of their anomalous left coronary arteries by creati ng a tunnel using autogenous aortic and pulmonary arterial walls. The advan tage of this technique is that the new left coronary artery lies in the hor izontal plane and in an anatomically correct axis running in the groove beh ind the pulmonary artery. It also provides a tension free endothelialized a utogenous arterial walls with normal growth anticipated. (C) 2001 Elsevier Science B.V. All rights reserved.