The Problem of the Anomalous Left Coronary Artery Arising from the Pulmonary Artery in Older Children

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Abstract
THE clinical picture in patients with an anomalous left coronary artery arising from the pulmonary artery has not been well recognized in older children. Very few cases have been diagnosed ante mortem.1 2 3 4 Furthermore, doubt of the efficacy of ligating the aberrant coronary vessel has recently been raised.5 In 2 of the cases reported below the diagnosis of an anomalous left coronary artery arising from the pulmonary artery was made during life. These 2 patients were each clearly demonstrated to have retrograde flow from a normally positioned coronary artery to the abnormally positioned vessel and thus into the pulmonary artery. One . . .