Unroofing aortic intramural left coronary artery arising from right pulmonary artery

Ann Thorac Surg. 2008 Feb;85(2):675-7. doi: 10.1016/j.athoracsur.2007.06.085.


We report an operative case of the anomalous origin of the left coronary artery from the right pulmonary artery with aortic intramural course. This particular anatomy was clearly identified with a preoperative angiogram. The restoration of the two-coronary system was accomplished by unroofing the intramural segment into the left sinus of Valsalva with encouraging midterm results. The details of this anatomical correction are described with a review of the literature.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / diagnosis
  • Abnormalities, Multiple / surgery
  • Coronary Angiography
  • Coronary Vessel Anomalies / diagnostic imaging
  • Coronary Vessel Anomalies / surgery*
  • Follow-Up Studies
  • Humans
  • Infant
  • Male
  • Pulmonary Artery / abnormalities*
  • Pulmonary Artery / surgery
  • Risk Assessment
  • Treatment Outcome
  • Vascular Surgical Procedures / methods*