Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA) with Intramural Aortic Route

(Department of Cardiovascular Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan)

Yuji Hoshino Fumio Iwaya Tsuguo Igari
Hirono Satokawa Takashi Ono Shinya Takase
Kazuya Sato Yukitoki Misawa Toshiki Watanabe
We report a 5-year-old girl with a diagnosis of an anomalous origin of the left coronary artery from the pulmonary artery with an intramural aortic route. The left coronary artery entered the aortic wall running parallel to the aorta. With the aid of cardiopulmonary bypass, she underwent establishment of two coronary artery systems by intraaortic reconstruction (unroofing and anastomosis). Her postoperative course was uneventful. Postoperative cineangiogram demonstrated patency and prograde flow in the new coronary systems.
@Jpn. J. Cardiovasc. Surg. 30: 324-326(2001)