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Cleland C. Landolt
John E. Anderson
Robert A. Guyton
Charles R. Hatcher, Jr.
Willis H. Williams
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Ann Thorac Surg 1986;41:351-355
© 1986 The Society of Thoracic Surgeons

Articles

Importance of Coronary Artery Anomalies in Operations for Congenital Heart Disease

Cleland C. Landolt, M.D., John E. Anderson, M.D., Susan Zorn-Chelton, R.N., Robert A. Guyton, M.D., Charles R. Hatcher, Jr., M.D., Willis H. Williams, M.D.*

Department of Surgery, Division of Cardiothoracic Surgery, Emory University School of Medicine and The Emory Clinic, and the Henrietta Egleston Hospital for Children, Inc., Atlanta, GA

* Address reprint requests to Dr. Williams, Cardiothoracic Surgery, Emory Clinic, 1365 Clifton Road, N.E., Atlanta, GA 30322

A congenital coronary artery anomaly influenced operative management of 21 children (34 operations) during a recent 8-year interval. This group represented 1.3% of cardiothoracic operations performed. Survivors included 5 of 10 children having correction of the left coronary artery from the pulmonary artery and 11 children having correction of intracardiac defects associated with major coronary arteries crossing the right ventricular outflow tract. Two children survived primary repair of injured major coronary arteries. Isolated coronary artery anatomy must be considered during management of intracardiac defects. Intraoperative injury to a major coronary artery requires meticulous repair.




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