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The Annals of Thoracic Surgery, Vol 41, 351-355, Copyright © 1986 by The Society of Thoracic Surgeons

ARTICLES

Importance of coronary artery anomalies in operations for congenital heart disease

CC Landolt, JE Anderson, S Zorn-Chelton, RA Guyton, CR Hatcher Jr and WH Williams

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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