HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kesler, K. A. Articles by Willman, V. L. Search for Related Content PubMed PubMed Citation Articles by Kesler, K. A. Articles by Willman, V. L.

The Journal of Thoracic and Cardiovascular Surgery, Vol 98, 25-29, Copyright © 1989 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Left subclavian-left coronary artery anastomosis for anomalous origin of the left coronary artery. Long-term follow-up

KA Kesler, DG Pennington, S Nouri, E Boegner, KR Kanter, L Harvey, SC Chen, S Juriedini, I Balfour and VL Willman
Department of Surgery, St. Louis University School of Medicine, MO 63104.

From 1972 to 1987, seven patients, from two to 28 months of age, underwent left subclavian artery-left coronary artery anastomosis for anomalous origin of the left coronary artery from the pulmonary trunk. All of these infants, median age 4 months, had severe congestive heart failure caused by anterolateral myocardial infarctions. There were two hospital deaths (29% mortality rate) with no late deaths after an average 10-year follow-up. All survivors have good exercise tolerance New York Heart Association class I), reduction in heart size, and significant improvement or normalization of ventricular function by echocardiography. Patency of the subclavian-left coronary artery anastomosis has been documented in two of four patients who have undergone catheterization. In contrast to other revascularizing procedures for treatment of an anomalous origin of the left coronary artery, anastomosis of the left subclavian to the left coronary artery may be performed without cardiopulmonary bypass or aortic occlusion. Moreover, this procedure appears to have an acceptable mortality rate with excellent long-term functional results in critically ill infants.

This article has been cited by other articles:

				J. W. Brown, M. Ruzmetov, J. J. Parent, M. D. Rodefeld, and M. W. Turrentine Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin of the left coronary artery from the pulmonary artery? J. Thorac. Cardiovasc. Surg., September 1, 2008; 136(3): 743 - 748. [Abstract] [Full Text] [PDF]

				Y. Ando, H. Kado, M. Masuda, T. Nakano, K. Hinokiyama, A. Shiose, and M. Kajimoto "Spiral-cuff" technique for repair of anomalous left coronary artery from the pulmonary artery. Ann. Thorac. Surg., August 1, 2008; 86(2): 667 - 668. [Abstract] [Full Text] [PDF]

				R. Lange, M. Vogt, J. Horer, J. Cleuziou, A. Menzel, K. Holper, J. Hess, and C. Schreiber Long-Term Results of Repair of Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery Ann. Thorac. Surg., April 1, 2007; 83(4): 1463 - 1471. [Abstract] [Full Text] [PDF]

				M. J. Barth, B. S. Allen, M. Gulecyuz, P. Chiemmongkoltip, B. Cuneo, and M. N. Ilbawi Experience with an alternative technique for the management of anomalous left coronary artery from the pulmonary artery Ann. Thorac. Surg., November 1, 2003; 76(5): 1429 - 1434. [Abstract] [Full Text] [PDF]

				V. Alexi-Meskishvili, R. Hetzer, Y. Weng, P. E. Lange, Z. Jin, F. Berger, and M. Loebe Anomalous origin of the left coronary artery from the pulmonary artery: Early results with direct aortic reimplantation J. Thorac. Cardiovasc. Surg., August 1, 1994; 108(2): 354 - 362. [Abstract] [Full Text]