
Okay, this is not a standard case. Normally-arising vessel from left coronary sinus of aorta was mainly LCX with a rudimentary LAD. The one arising from PA, was supplying major part of LV. We mulled over what to do with this patient. Finally, she had a CABG to LCA from PA with ligation of origin of LCA from PA. Reimplanting this to aortic root is another option.
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