“…A LIMA graft for LMCAA appears to be a reasonable early interventional approach with successful results 1 year postoperatively. Nevertheless, due to the rarity of this disease, long-term postoperative outcomes have not been reported yet [2,4,5,8,9,11]. Alternative to bypass grafting, direct surgical reimplantation or reconstruction of the left main coronary artery using azygos vein have been described to provide the shortest and most efficient way for blood to the myocardium.…”