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Ann Thorac Surg 2002;74:946-955
© 2002 The Society of Thoracic Surgeons
a Division of Cardiovascular-Thoracic Surgery, Children’s Memorial Hospital, Chicago, Illinois, USA
b Department of Surgery, Northwestern University Medical School, Chicago, Illinois, USA
* Address reprint requests to Dr Dodge-Khatami, Division of Cardiovascular-Thoracic Surgery, Academic Medical Center, Room G4-229, Postbus 22660, 1100 DD Amsterdam, The Netherlands
e-mail: a.dodgekhatami{at}amc.uva.nl
Anomalous origin of the left coronary artery from the pulmonary artery is an extremely rare but potentially fatal congenital coronary anomaly. Prompt surgical reestablishment of a two-coronary system on diagnosis yields excellent results and allows progressive and nearly total myocardial recovery. Follow-up of all patients is required to assess the adequacy of repair and to exclude ongoing or recurrent myocardial insult.
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