Volume 25, Issue 5 pp. 508-510

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

Morteza Tavakkoli Hosseini M.D.

Morteza Tavakkoli Hosseini M.D.

Department of Cardiothoracic Surgery, St. Georges Hospital, London, United Kingdom

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Antonios Kourliouros M.R.C.S., Ph.D.

Antonios Kourliouros M.R.C.S., Ph.D.

Department of Cardiothoracic Surgery, St. Georges Hospital, London, United Kingdom

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Mazin Sarsam F.R.C.S., E.B.C.T.S.

Mazin Sarsam F.R.C.S., E.B.C.T.S.

Department of Cardiothoracic Surgery, St. Georges Hospital, London, United Kingdom

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First published: 02 September 2010
Citations: 1
Address for correspondence: Mazin Sarsam, Department of Cardiothoracic Surgery, St. George's Hospital, Blackshaw Road, London, SW17 0QT, United Kingdom. Fax: +44-20-8725-3859; e-mail: [email protected]

Conflict of interest: None.

Abstract

Abstract 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)

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