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Original Articles: Pediatric Cardiac

Invited Commentary

Pediatric Cardiothoracic Surgery, The Congenital Heart Institute, Arnold Palmer Hospital for Children and Women, Orlando, FL 32806-2036

(Email: wdecampli@orhs.org).

The first 20% of the full text of this article appears below.

Perhaps because anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is so rare an anomaly, presents so dramatically, and is so effectively treatable, it appears regularly in our surgical literature. Alsoufi and coworkers [1] have added to this knowledge with a cogent analysis of their experience with 30 patients with this disorder with encouraging results.

There remain a few dilemmas with this lesion. The first dilemma is the mortality, which remains about 10% in recent reports. Most of the mortality occurs in patients presenting with shock . . . [Full Text of this Article]

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Surgical Strategy to Establish a Dual-Coronary System for the Management of Anomalous Left Coronary Artery Origin From the Pulmonary Artery

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Ann. Thorac. Surg. 2008 86: 170-176. [Abstract] [Full Text] [PDF]