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Anomalous Left Coronary Artery Originating from the Pulmonary Artery

  • Viktor Hraška
  • Peter Murín

Abstract

Anomalous left coronary artery originating from the pulmonary artery, also known as Bland-White-Garland syndrome, is a rare congenital anomaly. This chapter elaborates:

1. Anatomy

2. Indication for surgery

3. Approach and cardiopulmonary bypass strategy

4. Reimplantation of an anomalous left coronary artery originating from the main pulmonary artery directly into the aorta (video)

5. Reimplantation of an anomalous left coronary artery originating from the from the right pulmonary artery directly into the aorta (video)

Keywords

Pulmonary Artery Patent Ductus Arteriosus Left Coronary Artery Main Pulmonary Artery Hypoplastic Left Heart Syndrome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Supplementary material

Clip 1: Preoperative findings.

Clip 2: Orientation and anatomy.

Clip 3: Transection of the pulmonary trunk.

Clip 4: Explantation and mobilization of the left coronary artery.

Clip 5: Reimplantation of the left coronary artery into the ascending aorta.

Clip 6: Reconstruction of the donor area of the pulmonary trunk.

Clip 7: Re-anastomosis of the pulmonary artery trunk.

Clip 8: Final result.

Clip 9: Postoperative findings.

Fullversion

Clip 1: Preoperative findings.

Clip 2: Orientation and anatomy.

Clip 3: Partial transection of the pulmonary trunk.

Clip 4: Identification and mobilization of the left coronary artery.

Clip 5: Opening of the aorta.

Clip 6: Reimplantation of the left coronary artery.

Clip 7: Final result.

Clip 8: Postoperative findings.

Fullversion

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Viktor Hraška
    • 1
  • Peter Murín
    • 1
  1. 1.Department of Cardiac SurgeryGerman Pediatric Heart Center, Sankt AugustinSankt AugustinGermany

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