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This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Douglas M. Behrendt Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Behrendt, D. M. Search for Related Content PubMed Articles by Behrendt, D. M. Related Collections Cardiac - other Congenital - acyanotic Related Article

Ann Thorac Surg 2001;71:1989
© 2001 The Society of Thoracic Surgeons

Invited commentary

^a Division of Cardiothoracic Surgery, University of Iowa Hospitals and Clinics, John Colloton Pavilion, Room 1602-A, 200 Hawkins Dr, Iowa City, IA 52242, USA

e-mail: douglas-behrendt@uiowa.edu

This series demonstrates the remarkable progress made in changing the outlook of an anomaly which was 95% fatal thirty years ago to one in which 16 of 17 patients survived. In the 1960s it was recognized that simple ligation of the left main coronary artery would eliminate "coronary steal" and transiently benefit those patients with sufficient collaterals from the right coronary to provide left ventricular perfusion. However, this did not help the majority of infants who had insufficient collaterals and who developed myocardial ischemia and mitral valve regurgitation from papillary muscle dysfunction and ventricular dilatation. Attempts . . . [Full Text of this Article]

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