[HSF] anomalus origen left coronary

[Prasanna Simha M]

Edgar, you have the option of relocating the ostia (do it if you are
familiar with it) or do a CABG (LIMA) to LAD) and close the left main
ostium through the PA. You can give cardioplegia through the root and
through the cross clamped PA.
These cases need to be operated as they still carry a higher risk of
sudden death.
Prasanna

On Tue, Mar 18, 2008 at 2:34 AM, edgar manrique <edman63 at hotmail.com> wrote:
>
>
>  we have a 68 yo female with double lesion mitral and aortic valve regurgitation and trycuspidea regurgitation and auricular fibrilation, and EF 55 % of LV, and she has a origen of left coronary artery from pulmonar artery trunck, and she hasnt been with myocardila isquemia, our question is : 1. there is surgical indication 2. if is yes so, is necessary for LCA clip or graft with safenus or mamary artery, and how is the myocardial protection in pump ??
>  thanks
>  edgar j manrique
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-- 
Prasanna Simha M