Transconal Unroofing of Anomalous Left Main Coronary Artery From Right Sinus With Trans-septal Course

Hani K Najm; Munir Ahmad

doi:10.1016/j.athoracsur.2019.04.021

Transconal Unroofing of Anomalous Left Main Coronary Artery From Right Sinus With Trans-septal Course

Ann Thorac Surg. 2019 Dec;108(6):e383-e386. doi: 10.1016/j.athoracsur.2019.04.021. Epub 2019 May 15.

Authors

Hani K Najm¹, Munir Ahmad²

Affiliations

¹ Heart & Vascular Institute, Cleveland Clinic Foundation, Cleveland, Ohio. Electronic address: najmh@ccf.org.
² Heart & Vascular Institute, Cleveland Clinic Foundation, Cleveland, Ohio.

PMID: 31102634
DOI: 10.1016/j.athoracsur.2019.04.021

Abstract

Anomalous aortic origin of the left main coronary artery arising from the right coronary sinus with a trans-septal course are rare and pose surgical challenges not addressed by current techniques. Coronary artery bypass grafting, although a plausible solution, has an unacceptably high incidence of graft failure due to competitive flow. We describe a novel transconal approach to effectively unroof the trans-septal left main coronary artery.

Publication types

Case Reports

MeSH terms

Adult
Anomalous Left Coronary Artery / diagnostic imaging*
Anomalous Left Coronary Artery / surgery*
Cardiac Surgical Procedures / methods*
Chest Pain / diagnosis
Chest Pain / etiology
Computed Tomography Angiography / methods*
Coronary Angiography / methods*
Female
Follow-Up Studies
Humans
Rare Diseases
Risk Assessment
Sternotomy / methods
Treatment Outcome
Vascular Surgical Procedures / methods*