Abstract
The usually recommended treatment for anomalous origin of a left coronary artery from the pulmonary artery is proximal ligation of the anomalous artery with a saphenous vein bypass graft to restore aortocoronary continuity. In an adult patient with large collateral vessels and with the left coronary artery arising from the back of the pulmonary artery, the technical surgical problems associated with this procedure are formidable. Closure of the orifice of the anomalous left coronary artery from inside the pulmonary artery is suggested as the treatment of choice in such a case.
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Selected References
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- Flamm M. D., Stinson E. B., Hultgren H. N., Shumway N. E., Hancock E. W. Anomalous origin of the left coronary artery from the pulmonary artery. Surgical treatment by ostial occlusion through pulmonary arteriotomy. Circulation. 1968 Jul;38(1):113–123. doi: 10.1161/01.cir.38.1.113. [DOI] [PubMed] [Google Scholar]
- GEORGE J. M., KNOWLAN D. M. Anomalous origin of the left coronary artery from the pulmonary artery in an adult. N Engl J Med. 1959 Nov 12;261:993–998. doi: 10.1056/NEJM195911122612003. [DOI] [PubMed] [Google Scholar]
- 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]
- NADAS A. S., GAMBOA R., HUGENHOLITZ P. G. ANOMALOUS LEFT CORONARY ARTERY ORIGINATING FROM THE PULMONARY ARTERY. REPORT OF TWO SURGICALLY TREATED CASES WITH A PROPOSAL OF HEMODYNAMIC AND THERAPEUTIC CLASSIFICATION. Circulation. 1964 Feb;29:167–175. doi: 10.1161/01.cir.29.2.167. [DOI] [PubMed] [Google Scholar]
- SABISTON D. C., Jr, NEILL C. A., TAUSSIG H. B. The direction of blood flow in anomalous left coronary artery arising from the pulmonary artery. Circulation. 1960 Oct;22:591–597. doi: 10.1161/01.cir.22.4.591. [DOI] [PubMed] [Google Scholar]
- SMITH J. C. Review of single coronary artery with report of 2 cases. Circulation. 1950 May;1(5):1168–1175. doi: 10.1161/01.cir.1.5.1168. [DOI] [PubMed] [Google Scholar]
- Wesselhoeft H., Fawcett J. S., Johnson A. L. Anomalous origin of the left coronary artery from the pulmonary trunk. Its clinical spectrum, pathology, and pathophysiology, based on a review of 140 cases with seven further cases. Circulation. 1968 Aug;38(2):403–425. doi: 10.1161/01.cir.38.2.403. [DOI] [PubMed] [Google Scholar]