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KMID : 0364020160490050383
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Korean Journal of Thoracic and Cardiovascular Surgery
2016 Volume.49 No. 5 p.383 ~ p.386
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Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adulthood: Challenges and Outcomes
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Jignesh Kothari
Ketav Lakhia
Parth Solanki
Divyakant Parmar
Hiren Boraniya
Sanjay Patel
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Abstract
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Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an extremely rare, potentially fatal, congenital anomaly with a high mortality rate in the first year of life. It occurs rarely in adulthood and may appear with malignant ventricular arrhythmia or sudden death. We report a case of a 49-year-old woman with ALCAPA who presented with dyspnea on exertion. Management was coronary artery bypass grafting to the left anterior descending artery and obtuse marginal arteries, closure of the left main coronary artery ostium, and reestablishment of the dual coronary artery system.
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KEYWORD
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Coronary artery bypass, Cardiopulmonary bypass
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