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Ann Thorac Surg 1980;30:588-591
© 1980 The Society of Thoracic Surgeons

Articles

Internal Mammary–Anomalous Left Anterior Descending Coronary Artery Graft in 16-Month-Old Infant with Tetralogy of Fallot: 30-Month Follow-up

Denton A. Cooley, M.D.*, Dan G. McNamara, M.D., J. Michael Duncan, M.D., David A. Ott, M.D.

From the Division of Surgery, the Texas Heart Institute, and the Division of Cardiology, the Texas Children's Hospital, Houston, TX

Accepted for publication December 11, 1979.

* Address reprint requests to Dr. Cooley, Texas Heart Institute, PO Box 20345, Houston, TX 77025

Congenital anomalies of the coronary arteries can occur in conjunction with tetralogy of Fallot. We describe a case of unsuspected anomalous origin of the left anterior descending coronary artery arising from the right coronary artery that was discovered at the time of operation in a 16-month-old infant with tetralogy of Fallot. Successful direct vascular repair of the intracardiac anomalies was performed, including left internal mammary–coronary artery anastomosis. The patient, whom we believe to be the youngest to undergo this technique, underwent cardiac catheterization 21 months after operation. The successful results were confirmed at that time.




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