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Ann Thorac Surg 1995;59:229-231
© 1995 The Society of Thoracic Surgeons

Articles

Tetralogy of fallot with anomalous origin of the right coronary artery

MD R. Lawrence Moss, Md Carl L. Backer*, MD Vincent R. Zales, MD Michael S. Florentine, MD Constantine Mavroudis

Divisions of Cardiovascular-Thoracic Surgery and Cardiology The Children's Memorial Hospital and Departments of Surgery and Pediatrics, Northwestern University Medical School, Chicago, Illinois, USA

Accepted for publication March 2, 7518.

* Address reprint requests to Dr Backer, Division of CardiovascularThoracic Surgery, Children's Memorial Hospital, 2300 Children's PlazaM/C #22, Chicago, IL 60614.

This report describes a child with tetralogy of Fallot and acquired pulmonary valve atresia in whom the pulmonary blood flow was provided solely by retrograde flow from an anomalous right coronary artery originating from the main pulmonary artery. Complete repair with preservation of the native pulmonary valve and implantation of the right coronary artery into the ascending aorta is described.




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