Aberrant Left Coronary Artery, Modified Unroofing Technique, and Patch Angioplasty

Background: We present a case of surgical correction of an aberrant left coronary artery arising from the right sinus of Valsalva. Method: In order to prevent stenosis and kinking of the neo‐ostium, modified unroofing technique was combined with patch angioplasty. Results: The clinical outcome was e...

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Veröffentlicht in:	Journal of cardiac surgery 2010-09, Vol.25 (5), p.508-510
Hauptverfasser:	Hosseini, Morteza Tavakkoli, Kourliouros, Antonios, Sarsam, Mazin
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Angina Pectoris - diagnosis Angina Pectoris - etiology Angioplasty - methods Cardiopulmonary Bypass - methods Coronary Angiography - methods Coronary Vessel Anomalies - diagnostic imaging Coronary Vessel Anomalies - surgery Coronary Vessel Anomalies - therapy Female Follow-Up Studies Humans Imaging, Three-Dimensional Risk Assessment Sinus of Valsalva - abnormalities Treatment Outcome Vascular Patency - physiology Vascular Surgical Procedures - methods
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Zusammenfassung:	Background: We present a case of surgical correction of an aberrant left coronary artery arising from the right sinus of Valsalva. Method: In order to prevent stenosis and kinking of the neo‐ostium, modified unroofing technique was combined with patch angioplasty. Results: The clinical outcome was excellent with complete preservation of ventricular function, resolution of angina, and absence of aortic regurgitation. Conclusion: Addition of patch angioplasty to the unroofing technique improves outcome. (J Card Surg 2010;25:508‐510)
ISSN:	0886-0440 1540-8191
DOI:	10.1111/j.1540-8191.2010.01101.x