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Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery Associated With Severe Left Ventricular Dysfunction: Results in Normothermia  Emre.

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Presentation on theme: "Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery Associated With Severe Left Ventricular Dysfunction: Results in Normothermia  Emre."— Presentation transcript:

1 Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery Associated With Severe Left Ventricular Dysfunction: Results in Normothermia  Emre Belli, MD, Régine Roussin, MD, Mohammed Ly, MD, François Roubertie, MD, Emmanuel Le Bret, MD, PhD, Murat Basaran, MD, Alain Serraf, MD, PhD  The Annals of Thoracic Surgery  Volume 90, Issue 3, Pages (September 2010) DOI: /j.athoracsur Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) The left coronary artery arising from the anterior pulmonary artery sinus is harvested with a generous cuff, mobilized and the edges of the cuff are sutured together in order to obtain a preostial autologous vascular conduit. The aortic wall is incised above the anterior commissure creating a flap (or trap door). (B) The left coronary artery is reimplanted on the ascending aorta. If necessary, the anastomosis can be completed by an autologous pericardial (*) hood. The reconstruction of the pulmonary artery is achieved by a piece of autologous pericardium (*). (Ao = aorta; PA = pulmonary artery.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) and (B). Angiograms of the patient who underwent stent implantation. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Diagram showing the recovery of the left ventricular shortening function (SF) at echocardiography. (FU = follow-up, or last visit; Preop = preoperative.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

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