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Takashi Iwa
Yoh Watanabe
Takuro Misaki
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Ann Thorac Surg 1980;29:562-566
© 1980 The Society of Thoracic Surgeons

Articles

Simultaneous Repair of Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery and Mitral Regurgitation

Takashi Iwa, M.D.*, Yoh Watanabe, M.D., Takuro Misaki, M.D., Hitoshi Yoshida, M.D.

Departments of Surgery and Pediatrics, Kanazawa University School of Medicine, Kanazawa, Japan

Accepted for publication August 20, 1979.

* Address reprint requests to Dr. Iwa, Department of Surgery, Kanazawa University School of Medicine, Takaramachi 13–1, Kanazawa 920, Japan

A 20-month-old boy with anomalous origin of the left coronary artery from the pulmonary artery was successfully treated by combining aortic implantation of the left coronary artery and simultaneous mitral valve replacement. We describe our operative technique and emphasize that in the definitive treatment of this anomaly, it is advisable to not only correct the malformation but also repair the mitral valve damage caused by secondary changes due to infarction.






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