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Fig. 3 | Journal of Cardiothoracic Surgery

Fig. 3

From: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) diagnosed in children and adolescents

Fig. 3

Surgical steps of the re-implantation technique are shown in order. a The pulmonary artery is transected just proximal to the bifurcation; one-third circumference of the posterior pulmonary artery is excised including the ALCAPA orifice and the entire sinus, creating an ample-sized autologous flap. b By suturing the edges of this flap longitudinally with the autologous pericardial patch, a long rolled conduit is obtained. c The rolled conduit-extended left main coronary artery is re-implanted laterally to the aortic wall

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