Anatomic Repair of Left Main Coronary Artery Atresia: Coronary Ostioplasty With Autologous Pulmonary Artery

Coronary artery bypass in infants with left main coronary artery atresia using an internal thoracic artery bypass graft

“…Long-term patency depends on growth of the connection, as well as lack of inflammation and scarring within the patched hood of the connection. The largest series of LCA osteoplasty is from Ma and colleagues, 5 who reported no stenosis in the 8 surviving patients of 9 total; however, the median follow-up was only 10.9 months. This author has successful experience with internal thoracic artery bypass graft in infants and children with different etiologies where osteoplasty was not an option.…”

Left main coronary artery osteoplasty with pulmonary autograft in a child with familial hypercholesterolemia

“…[20] However, there are no definitive results about their use in osteoplasty in the literature. Ma et al [21] reported positive early-and mid-term outcomes after LMCA-plasty. Ischemia was not observed in any of their patients.…”

Coronary artery ostioplasty without a patch for congenital left main coronary artery ostial atresia

“…In recent years, coronary artery ostioplasty has become the predominant procedure for treating LMCAOA. 2 , 3 , 4 …”

“… 1 Patch ostioplasty is gradually becoming the major surgical technique to treat LMCAOA, rather than coronary artery bypass graft. 2 , 3 , 4 Ostioplasty without a patch has never been reported in the literature, with the exception of 1 case of ostial dilatation. However, the patient in that case did not survive the surgery, and the details of the procedure were not described.…”