Document Type

Article

Publication Date

4-1-2009

Comments

This article has been peer reviewed. The article will be available for full text download on April 2010. Annals of Thoracic Surgery Volume 87, Issue 4, April 2009, Pages 1292-1295. The published version is available at . DOI: 10.1016/j.athoracsur.2008.07.099 Copyright © Elsevier Inc.

Abstract

Anomalous aortic origin of a coronary artery found in a symptomatic 9-year-old boy was initially treated with coronary artery bypass grafting using a left internal mammary artery anastomoses to the left anterior descending coronary artery, but resulted in coronary ischemia, likely from a steal phenomenon. Subsequent transection of the proximal left internal mammary artery with anastomosis to the ascending aorta, and coronary ostial enlargement, resulted in a durable treatment. We recommend caution in choosing coronary artery bypass grafting using a left internal mammary artery pedicle graft for the treatment of anomalous aortic origin of a coronary artery.

Included in

Surgery Commons

Share

COinS