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Ganesh Shanmugam
Alistair J. McLennan
James C. Pollock
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Right arrow Congenital - acyanotic

Ann Thorac Surg 2005;80:334-336
© 2005 The Society of Thoracic Surgeons

Case report

Anomalous Left Coronary Artery, Ventricular Septal Defect, and Double Aortic Arch

Ganesh Shanmugam, MCh, FRCS, Alistair J. McLennan, MRCS, James C. Pollock, FRCS, Kenneth J.D. MacArthur, FRCS*

Department of Cardiac Surgery, Royal Hospital for Sick Children, Glasgow, United Kingdom

Accepted for publication December 22, 2003.

* Address reprint requests to Dr MacArthur, Royal Hospital for Sick Children, Dalnair St, Glasgow G3 8SJ, UK (Email: kjdmaca{at}aol.com).

Anomalous origin of the left coronary artery from the pulmonary artery generally occurs in isolation. We report an infant diagnosed with double aortic arch and ventricular septal defect who was found to have an anomalous origin of the left coronary artery from the pulmonary artery at surgery. Successful ventricular septal defect repair, division of the arch, and aortic reimplantation of the left coronary artery was performed. This article describes a combination of lesions previously not described, highlights the altered presentation when multiple lesions coexist, discusses the propensity to miss the anomalous coronary, and reviews the literature that demonstrates the consequences of overlooking this defect.






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