{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:29:11Z","timestamp":1786386551164,"version":"build-2736575974"},"reference-count":7,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T00:00:00Z","timestamp":1786147200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"abstract":"<jats:p>Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) arising from the nonfacing sinus presents a significant technical challenge because direct reimplantation may not be feasible due to insufficient coronary length. We describe a dual aortic-pulmonary flap technique enabling anterior tension-free reimplantation.<\/jats:p>\n                  <jats:p>A 6-month-old infant with mildly reduced left ventricular systolic function secondary to ALCAPA originating from the anterior nonfacing pulmonary sinus underwent surgical repair. Following maximal coronary mobilization, a large anterior pulmonary artery flap and a posterior-based aortic flap were constructed and sutured together to create a tubular native arterial extension, permitting tension-free anterior implantation. The anterior pulmonary valve commissure was temporarily detached and subsequently resuspended.<\/jats:p>\n                  <jats:p>Following reimplantation, left ventricular ejection fraction improved from 54% preoperatively to 62% at discharge and mitral regurgitation regressed from moderate to trivial at 1-year follow up. Good coronary artery flow was demonstrated on echocardiogram and the patient remains asymptomatic at 1-year follow up.<\/jats:p>\n                  <jats:p>The dual-flap technique provides additional coronary length using exclusively native arterial tissue and facilitates anterior tension-free reimplantation in selected cases of nonfacing sinus ALCAPA. Further follow up is required to determine long-term durability.<\/jats:p>","DOI":"10.1177\/21501351261466132","type":"journal-article","created":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T17:17:14Z","timestamp":1786209434000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Dual Aortic-Pulmonary Flap for Nonfacing Sinus Left Coronary Artery Origin From the Pulmonary Artery"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1067-7739","authenticated-orcid":false,"given":"Balaji","family":"Srimurugan","sequence":"first","affiliation":[{"name":"Amrita Institute of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7749-1043","authenticated-orcid":false,"given":"Ranjith","family":"Chandran","sequence":"additional","affiliation":[{"name":"Amrita Institute of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0239-386X","authenticated-orcid":false,"given":"Praveen Reddy","family":"Bayya","sequence":"additional","affiliation":[{"name":"Amrita Institute of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brijesh P.","family":"Kottayil","sequence":"additional","affiliation":[{"name":"Amrita Institute of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.38.2.403"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.11.005"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.09.104"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-012-0260-5"},{"issue":"1","key":"e_1_3_2_6_2","first-page":"32","article-title":"Anomalous left coronary artery from the pulmonary artery with ectopic origin from the nonfacing sinus: successful anatomic repair by creation of an autologous extrapulmonary tunnel","volume":"35","author":"Sodian R","year":"2008","unstructured":"Sodian R, Rassoullian D, Beiras-Fernandez A, et al. Anomalous left coronary artery from the pulmonary artery with ectopic origin from the nonfacing sinus: successful anatomic repair by creation of an autologous extrapulmonary tunnel. Tex Heart Inst J. 2008;35(1):32-35.","journal-title":"Tex Heart Inst J"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.04.001"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivy013"}],"container-title":["World Journal for Pediatric and Congenital Heart Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351261466132","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501351261466132","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351261466132","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T17:50:52Z","timestamp":1786384252000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501351261466132"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,8]]},"references-count":7,"alternative-id":["10.1177\/21501351261466132"],"URL":"https:\/\/doi.org\/10.1177\/21501351261466132","relation":{},"ISSN":["2150-1351","2150-136X"],"issn-type":[{"value":"2150-1351","type":"print"},{"value":"2150-136X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,8]]},"article-number":"21501351261466132"}}