Anomalous origin of left coronary artery from pulmonary artery. Treatment by aorto-left coronary saphenous vein bypass

Abstract Definitive surgical therapy is available for the adult or post-infantile form of anomalous origin of the left coronary artery from the pulmonary trunk. Left coronary artery ligation has proved successful because of intercoronary anastomoses; however, more desirable treatment consists of establishing a 2-coronary arterial system, if possible by aorto-left coronary bypass. A 34 year old patient is described in whom aorto-left coronary artery continuity was established using an autogenous saphenous vein bypass graft.