Direct implantation of the left coronary artery to the ascending aorta in Bland-White-Garland syndrome
Hayashida, N.; Hisatomi, K.; Isomura, T.; Tayama, E.; Ohashi, M.; Hirano, A.; Kosuga, K.; Oishi, K.
Kyobu Geka. Japanese Journal of Thoracic Surgery 46(3): 263-265
1993
ISSN/ISBN: 0021-5252 PMID: 8468844 Document Number: 406038
A seventeen-year-old male with Bland-White-Garland syndrome underwent direct implantation of the left coronary artery to the ascending aorta. Under cardiopulmonary bypass, the main pulmonary artery was completely transected and the left coronary artery (LCA) was excised with a cuff of the pulmonary artery wall. Then the proximal end of LCA was directly anastomosed to the ascending aorta. The postoperative course was excellent. It appears that this surgical procedure might be the most ideal repair both anatomically and hemodynamically to reconstruct the left coronary artery in Bland-White-Garland syndrome.