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Case Reports
. 2019 Dec;108(6):e383-e386.
doi: 10.1016/j.athoracsur.2019.04.021. Epub 2019 May 15.

Transconal Unroofing of Anomalous Left Main Coronary Artery From Right Sinus With Trans-septal Course

Hani K Najm  1 , Munir Ahmad  2
Affiliations
Case Reports

Transconal Unroofing of Anomalous Left Main Coronary Artery From Right Sinus With Trans-septal Course

Hani K Najm et al. Ann Thorac Surg. 2019 Dec.

Abstract

Anomalous aortic origin of the left main coronary artery arising from the right coronary sinus with a trans-septal course are rare and pose surgical challenges not addressed by current techniques. Coronary artery bypass grafting, although a plausible solution, has an unacceptably high incidence of graft failure due to competitive flow. We describe a novel transconal approach to effectively unroof the trans-septal left main coronary artery.

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