Surgical treatment of anomalous left coronary artery from pulmonary artery in an adult

Anomalous left coronary artery from pulmonary artery (ALCAPA) is a rare congenital heart disease that affects one in every 300 000 live births and accounts for 0.24–0.46% of cases of congenital heart disease [1]. Over the last few decades, four different operative procedures have been recommended as treatment for ALCAPA: the simple ligation of ALCAPA, coronary artery bypass grafting, channel repair (Takeuchi surgery), and coronary artery reimplantation [2]. The reimplantation surgery of ALCAPA is the current ideal option to achieve a definitive two-coronary artery anatomy and physiology, and has a good short-term and long-term outcome; it has become the first-choice procedure for this anomaly [3]. We report a new modified technique to repair ALCAPA in an adult.