Coronary-coronary bypass and pulmonary artery reconstruction related to Wegener granulomatosis in a 22-year-old woman

We report a case of left coronary artery ostial stenosis and bilateral pulmonary artery (PA) stenosis in a 22-year-old woman with Wegener granulomatosis (WG). Complicating periaortitis and obstruction of the internal thoracic arteries hampered conventional coronary artery bypass grafting and in situ PA reconstruction. Successful treatment was achieved by restoration of right ventricular outflow tract (RVOT) to bilateral PA continuities with reinforced polytetrafluoroethylene (PTFE) grafts and coronary-coronary bypass.