1. Anomalous Left Coronary Artery From Nonfacing Pulmonary Sinus: Direct Aortic Reimplantation 
Gopalraj S. Sunil, MCh, Brijesh P. Kottayil, MCh, Edwin Francis, DM, Balu Vaidyanathan, DM, Mahesh Kappanayil, DNB, FNB, Rakhi Balachandran, MD, Suresh G. Nair, MD, Raman Krishna Kumar, DM 
The Annals of Thoracic Surgery 
Volume 97, Issue 5, Pages (May 2014)
DOI: /j.athoracsur
Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2. Fig 1
(A, B) Preoperative echocardiogram showing the anomalous origin of the left coronary artery (arrow) from the pulmonary artery (PA). The origin is relatively anterior in relation to the aorta. Note the retrograde flow (red) into the PA, indicating flow reversal from the coronary artery. (LCx = left circumflex artery.)
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3. Fig 2
Postoperative echocardiogram. Note that, after the Lecompte maneuver, the pulmonary artery (PA) is displaced anteriorly and possibly to the right. The PA and Aorta (Ao) are in an anteroposterior relationship. The anastomosis of the left coronary artery to the aorta is indicated by an arrow.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4. Fig 3
A cartoon of the surgical reconstruction. The right pulmonary artery (PA) is now situated anterior to the aorta (Ao) after the Lecompte maneuver. The great vessels are now in an anteroposterior relationship, enabling a relatively easier translocation of the left coronary artery button to the aorta.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions