SURGICAL-TREATMENT OF ANOMALOUS ORIGIN OF THE LEFT CORONARY-ARTERY IN INFANCY AND CHILDHOOD - EARLY AND LATE RESULTS IN 20 CONSECUTIVE CASES
- 1 January 1981
- journal article
- research article
- Vol. 82 (3) , 423-428
Abstract
From 1972 to Sept., 1979, 20 patients underwent transplantation of the anomalous left coronary artery to the aorta, either directly or via a graft. Correction of ischemia-induced mitral insufficiency was associated in 8 patients and a postinfarction left ventricular scar was excised in 12. Operative mortality was high among patients under 1 yr of age (4/5). Among older children it was 15%. There were no late deaths among patients surviving the operation (mean follow-up 3 yr). All but 1 had marked clinical improvement and reduction of cardiomegaly. Eleven patients underwent angiographic control, with a patent graft or anastomosis demonstrated in every case. Operation is advocated for patients over 1 yr of age. The best treatment for symptomatic infants remains controversial.This publication has 5 references indexed in Scilit:
- ANOMALOUS LEFT CORONARY-ARTERY IN THE INFANT - RECOVERY OF VENTRICULAR-FUNCTION FOLLOWING EARLY DIRECT AORTIC IMPLANTATION1980
- Correction of anomalous origin of the left coronary arteryThe Journal of Thoracic and Cardiovascular Surgery, 1979
- ANOMALOUS LEFT CORONARY-ARTERY FROM PULMONARY TRUNK - LONG-TERM FOLLOW-UP AFTER LIGATION1978
- SUBCLAVIAN CORONARY ARTERY ANASTOMOSIS IN INFANCY FOR BLAND-WHITE-GARLAND SYNDROME - 3-YEAR AND 5-YEAR FOLLOW-UP1976
- Anomalous Origin of the Left Coronary Artery from the Pulmonary TrunkCirculation, 1968