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Sridhar Rathinam
William J. Brawn
David J. Barron
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Right arrow Congenital - acyanotic

Ann Thorac Surg 2005;80:1111-1113
© 2005 The Society of Thoracic Surgeons

Case report

Cleft Mitral Valve in Association With Anomalous Left Coronary Artery Arising From Pulmonary Artery

Sridhar Rathinam, FRCS, Oliver Stümper, MD, PhD, William J. Brawn, FRCS, FRACS, David J. Barron, MD, FRCS (C Th) *

Department of Pediatric Cardiac Surgery and Pediatric Cardiology, Diana Princess of Wales Hospital for Children, Birmingham, United Kingdom

Accepted for publication February 17, 2004.

* Address reprint requests to Dr Barron, Department of Cardiothoracic Surgery, Diana Princess of Wales Hospital for Children, Steel House Ln, Birmingham B4 6NH, UK (Email: david.barron{at}bch.nhs.uk).

An anomalous origin of the left coronary artery from the pulmonary artery is commonly associated with mitral valve insufficiency. Usually this is secondary to left ventricular dysfunction or papillary muscle ischemia. We describe the association of an anomalous left coronary artery from the pulmonary artery with structural abnormalities of the mitral valve (cleft mitral leaflet) in 2 children, both of whom were being investigated for primary mitral valve disease. Both underwent successful operations for coronary transfer and mitral valve repair.






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Copyright © 2005 by The Society of Thoracic Surgeons.