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The Journal of Thoracic and Cardiovascular Surgery, Vol 91, 188-191, Copyright © 1986 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Successful mitral valve replacement and myocardial revascularization in an adult with anomalous origin of the left coronary artery from the pulmonary artery

S Westaby and GJ Davies

A 35-year-old white woman with anomalous origin of the left coronary artery from the pulmonary artery had infective endocarditis and severe mitral regurgitation. She survived mitral valve replacement and occlusion of the anomalous left main stem, but subsequently deterioration of her condition necessitated urgent saphenous vein bypass grafts to the left anterior descending and circumflex coronary arteries. Pulmonary hypertension with raised right ventricular end- diastolic pressure probably compromised collateral flow from the right to the left coronary systems.


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 Ann. Thorac. Surg.Home page
T. Katsumata and S. Westaby
Anomalous left coronary artery from the pulmonary artery: a simple method for aortic implantation with autogenous arterial tissue
Ann. Thorac. Surg., September 1, 1999; 68(3): 1090 - 1091.
[Abstract] [Full Text] [PDF]


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Copyright © 1986 by The American Association for Thoracic Surgery.