%0 Journal Article
%T A rare case of anomalous origin of the left main coronary artery in an adult patient
%A Dionne Pierre O
%A Poirier Nancy
%A Forcillo Jessica
%A Stevens Louis M
%J Journal of Cardiothoracic Surgery
%D 2013
%I BioMed Central
%R 10.1186/1749-8090-8-15
%X Anomalous origin of left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that causes a left-to-right shunt via the coronary system, resulting in coronary steal. We report an unusual case of a healthy 48 years-old patient presenting with dyspnea on exertion and mild chest pain who underwent surgical correction of this rare anomaly. Multiple procedures have been proposed in adults with ALCAPA. Although re-implantation of the left main coronary artery (LMCA) to the aorta remains the most physiological correction for this anomaly, the combination of LMCA ligation and coronary artery bypass grafting provides a dual coronary flow system and is preferable when re-implantation is impossible.
%K Congenital heart defect
%K Cardiac surgery
%K Coronary artery bypass graft
%U http://www.cardiothoracicsurgery.org/content/8/1/15