Surgical treatment of anomalous origin of the left coronary artery in infancy and childhood. Early and late results in 20 consecutive cases

From 1972 to September, 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 eight patients and a postinfarction left ventricular scar was excised in 12. O...

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Published inThe Journal of thoracic and cardiovascular surgery Vol. 82; no. 3; pp. 423 - 428
Main Authors Laborde, F, Marchand, M, Leca, F, Jarreau, MM, Dequirot, A, Hazen, E
Format Journal Article
LanguageEnglish
Published United States AATS/WTSA 01.09.1981
Subjects
Aorta - surgery
Aortography
Child
Child, Preschool
Coronary Angiography
Coronary Vessel Anomalies
Coronary Vessels - surgery
Female
Humans
Infant
Male
Methods
Prognosis
Saphenous Vein - transplantation
Subclavian Artery - transplantation
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Summary:From 1972 to September, 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 eight patients and a postinfarction left ventricular scar was excised in 12. Operative mortality was high among patients under 1 year of age (4/5). Among older children it was 15%. There were not late deaths among patients surviving the operation (mean follow-up 3 years). All but one 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 year of age. The best treatment of symptomatic infants remains controversial.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0022-5223
1097-685X
DOI:10.1016/s0022-5223(19)39332-8