An Eligible Surgical Repair Technique for Bland-White-Garland Syndrome

Abstract

Anomalous origin of left coronary artery from pulmonary artery (ALCAPA) is an uncommon but major congenital cardiac anomaly, which was firstly defined in 1866. Multiple surgical techniques intend to compose 2-coronary artery system, including direct reimplantation of left coronary artery to aorta and coronary artery bypass grafting procedures. Left coronary artery seldomly rises from non-facing pulmonary sinus, where direct reimplantation is technically quite difficult for surgical correction because of long distance from native aorta. In this case report, a surgical technique option of reconstructing left coronary artery, arising from non-facing sinus which we turned to aorta with a tunnel created from autologous pulmonary artery wall, was presented.