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Ann Thorac Surg 1975;19:457-459
© 1975 The Society of Thoracic Surgeons

Articles

Left Ventricular Aneurysmectomy in a Child

Treatment of Anomalous Left Coronary Artery

Robert J. Flemma, M.D.*, Leo Marx, M.D., S. Bert Litwin, M.D., William J. Gallen, M.D.

From the Departments of Thoracic/Cardiovascular Surgery, Cardiology, and Pediatrics, The Medical College of Wisconsin, and Milwaukee Children's Hospital, Milwaukee, Wis.

Accepted for publication November 6, 1974.

* Address reprint requests to Dr. Flemma, 9800 W. Bluemound Rd., Milwaukee, Wis. 53226.

Anomalous origin of the left coronary artery from the pulmonary artery with development of a massive left ventricular aneurysm in a 23-month-old child is described. Operative treatment included ligation of the anomalous origin, ventricular aneurysmectomy, and a saphenous vein bypass graft to the anterior descending coronary artery. The principles of ventricular aneurysm resection used in adults are applicable to small children with this complication of anomalous coronary artery origin.




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