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. 1978 Jan;40(1):79–82. doi: 10.1136/hrt.40.1.79

Correction of anomalous origin of left coronary artery using left subclavian artery.

J L Monro, G P Sharratt, N Conway
PMCID: PMC481978  PMID: 626667

Abstract

A case of anomalous origin of the left coronary artery from the pulmonary artery is reported in which surgical correction by anastomosis of the left subclavian artery to the left coronary artery was performed at the age of 6 months. There was a dramatic clinical improvement, and at 22 months repeat angiocardiography disclosed a patent graft and remarkable improvement in left ventricular function. It is recommended that this is the operation of choice for infants in whom cardiac catheterisation fails to show a shunt into the pulmonary artery or the shunt is small.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. APLEY J., HORTON R. E., WILSON M. G. The possible role of surgery in the treatment of anomalous left coronary artery. Thorax. 1957 Mar;12(1):28–33. doi: 10.1136/thx.12.1.28. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Akhtar N., Hyland J. W., Adam M. Anomalous origin of the left coronary artery from the pulmonary artery in an adult. Report of a case treated by aorto-coronary bypass with the saphenous vein. J Thorac Cardiovasc Surg. 1973 Jul;66(1):112–117. [PubMed] [Google Scholar]
  3. Askenazi J., Nadas A. S. Anomalous left coronary artery originating from the pulmonary artery. Report on 15 cases. Circulation. 1975 Jun;51(6):976–987. doi: 10.1161/01.cir.51.6.976. [DOI] [PubMed] [Google Scholar]
  4. Chaitman B. R., Bourassa M. G., Lespérance J., Grondin P. Anomalous left coronary artery from pulmonary artery. An eight year angiographic follow-up after saphenous vein bypass graft. Circulation. 1975 Mar;51(3):552–555. doi: 10.1161/01.cir.51.3.552. [DOI] [PubMed] [Google Scholar]
  5. Cooley D. A., Hallman G. L., Bloodwell R. D. Definitive surgical treatment of anomalous origin of left coronary artery from pulmonary artery: indications and results. J Thorac Cardiovasc Surg. 1966 Dec;52(6):798–808. [PubMed] [Google Scholar]
  6. Doty D. B., Chandramouli B., Schieken R. E., Lauer R. M., Ehrenhaft J. L. Anomalous origin of the left coronary artery from the right pulmonary artery. J Thorac Cardiovasc Surg. 1976 May;71(5):787–791. [PubMed] [Google Scholar]
  7. Endo M., Takayasu S., Obunai Y., Nakazawa M., Konno S. Anomalous origin of left coronary artery from pulmonary artery. Significance of saphenous vein bypass between aorta and left coronary artery. J Thorac Cardiovasc Surg. 1974 Jun;67(6):896–902. [PubMed] [Google Scholar]
  8. Gasior R. M., Winters W. L., Glick H., Sandiford F., Chapman D. W., Morris G. C., Jr Anomalous origin of left coronary artery from pulmonary artery. Treatment by aorto-left coronary saphenous vein bypass. Am J Cardiol. 1971 Feb;27(2):215–220. doi: 10.1016/0002-9149(71)90261-x. [DOI] [PubMed] [Google Scholar]
  9. KEITH J. D. The anomalous origin of the left coronary artery from the pulmonary artery. Br Heart J. 1959 Apr;21(2):149–161. doi: 10.1136/hrt.21.2.149. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Meyer B. W., Stefanik G., Stiles Q. R., Lindesmith G. G., Jones J. C. A method of definitive surgical treatment of anomalous origin of left coronary artery. A case report. J Thorac Cardiovasc Surg. 1968 Jul;56(1):104–107. [PubMed] [Google Scholar]
  11. Nora J. J., McNamara D. G., Hallman G. L., Sommerville R. J., Cooley D. A. Medical and surgical management of anomalous origin of the left coronary artery from the pulmonary artery. Pediatrics. 1968 Sep;42(3):405–414. [PubMed] [Google Scholar]
  12. Pinsky W. W., Fagan L. R., Kraeger R. R., Mudd J. F., Willman V. L. Anomalous left coronary artery. Report of two cases. J Thorac Cardiovasc Surg. 1973 May;65(5):810–814. [PubMed] [Google Scholar]
  13. Pinsky W. W., Fagan L. R., Mudd J. F., Willman V. L. Subclavian-coronary artery anastomosis in infancy for the Bland-White-Garland syndrome: a three-year and five-year follow-up. J Thorac Cardiovasc Surg. 1976 Jul;72(1):15–20. [PubMed] [Google Scholar]
  14. Somerville J., Ross D. N. Left coronary artery from the pulmonary artery. Physiological considerations of surgical correction. Thorax. 1970 Mar;25(2):207–212. doi: 10.1136/thx.25.2.207. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Wagner H. R., Nadas A. S., Hugenholtz P. G. Anomalous left coronary artery originating from the pulmonary artery. Detailed follow-up report of successful ligation of the aberrant vessel in two infants. Pediatrics. 1967 Sep;40(3):320–328. [PubMed] [Google Scholar]

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