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Ann Thorac Surg 1975;19:451-456
© 1975 The Society of Thoracic Surgeons

Articles

Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery

Definitive Surgical Treatment by Saphenous Vein Interposition in a 17-Month-Old Child

P. Venugopal, M.D., S. Subramanian, F.R.C.S.*

From the Division of Cardiovascular Surgery, Children's Hospital, Buffalo, N.Y.

Accepted for publication June 11, 1974.

* Address reprint requests to Dr. Subramanian, Division of Cardiovascular Surgery, Children's Hospital, 219 Bryant St., Buffalo, N.Y. 14222.

A 17-month-old child underwent successful operative correction of anomalous origin of the left coronary artery from the pulmonary artery by saphenous vein interposition. The clinical, hemodynamic, and angiographic features of the anomaly are presented. Three months after the operation, cardiac catheterization and angiography revealed a patent graft with good antegrade flow and improvement in left ventricular function.




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