Abstract
Surgical correction of the left coronary artery anomalous origin from the pulmonary artery is the only surgical technique
for this defect, its history amounts to over half a century. There were proposed various types of surgical interventions
aimed at either development and/or improvement of collateral blood stream in the system of coronary
arteries or repair and/or improvement of antegrade arterial blood flow in the anomalous left coronary artery outlet.
Presently there are two types of approaches to the surgical treatment of the pathology. The first one is aimed at termination
of LCA anomalous origin shunting and consequently results in perfusion pressure elevation in venousarterial
system (accomplished by ligation or suture of coronary artery orifice) and heart blood supply is accomplished
through one coronary artery. The essence of the second approach to the surgical correction of the anomaly
is restoration of the normal arterial blood flow in the system of venous arteries with direct or indirect (by means of
interpulmonary tunnel) implantation of anomalous coronary outlet to aorta or creation of anastomosis between the
system and venous arteries with various allografts.
The paper is dedicated to the literature review of the state of the art of the surgical correction of the defect with
application of new techniques including assist circulation system and stem cell therapy.
