Abstract
The only way to treat anomalous origin of the left coronary artery from the pulmonary artery is surgery. The success of surgical treatment
is determined by the state of ischemically damaged left ventricular myocardium and the severity of mitral regurgitation. The
anatomy of the left and right coronary arteries plays an important role as well. Even for infants in critical condition, preference is given
to restoring the two-coronary perfusion system of the myocardium using the following techniques: intrapulmonary tunnel (Takeuchi
surgery), re-implantation of the left coronary artery into the aorta, extrapulmonary tunnel. Difficulties can arise either due to high
divergence of the right coronary artery or its passage between the aorta and the pulmonary artery (which increases the risk of injury
while performing Takeuchi surgery) or due to the abnormal origin of the left coronary artery from the non-facial sinus of the pulmonary
artery (when direct re-implantation of the left coronary artery into the aorta is impossible). The presented clinical case considers
one of the variants of correction of the anomalous origin of the left coronary artery from the pulmonary artery distanced from
aorta in a low-weight patient of the first year of life.
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About the authors
- Aleksey I. Kim, Dr Med. Sc., Professor, Head of Department, orcid.org/0000-0002-1759-9895;
-
Tat’yana V. Rogova, Dr Med. Sc., Head of Department, orcid.org/0000-0002-7610-1743;
-
Tigran R. Grigor’yants, Cand. Med. Sc., Senior Researcher, Cardiovascular Surgeon, orcid.org/0000-0001-9344-2593;
-
Gul’nara S. Netalieva, Researcher
