Abstract
In patients with anomalous origin of the left coronary artery from the pulmonary artery, with a well-developed
network of collateral coronary vessels under certain anatomical features, the ostial closure of the left
coronary artery, can be the method of choice. However, in the late follow-up after the operation, if the
myocardial ischemia do not regress, the correction of the compromised coronary blood flow must be considered.
The goal of the paper is to present the case of supravalvular pulmonary artery stenosis and the left
ventricle aneurysm surgical treatment late after ostial closure of the left coronary artery anomalous origin
from the pulmonary artery. The geometric reconstruction of left ventricle, coronary artery bypass grafting of
the anterior intraventricular artery and circumflex artery with simultaneous transannular patching of the
right ventricle outflow tract, normalized the function of the left ventricle and to released the obstruction of
pulmonary blood flow.
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About the authors
- Chiaureli Mikhail Ramazovich, Dr. Med. Sc., Professor, Chief Researcher, orcid.org/ 0000-0002-6456-9269;
- Danilov Timur Yur'evich, Dr. Med. Sc, Leading Researcher, orcid.org/0000-0002-9409-3230;
- Alshibaya Mikhail Mikhaylovich, MD, PhD, Professor, Chief of Department for Surgical Treatment of Ischemic Heart Disease, orcid.org/0000-0002-8003-5523;
- Cheishvili Zurab Merabovich, Cand. Med. Sc., Research Associate, orcid.org/0000-0001-7791-6875
