[Anomalous origin of left coronary artery in pulmonary artery].
We report 2 infants aged 6 months and one year with an anomalous left coronary artery origin treated surgically at our centre with direct aortic reimplantation of the anomalous coronary. Evolution has been satisfactory, with a great improvement of ventricular function. The mitral incompetence and congestive heart failure have disappeared and myocardic perfusion electrocardiographic patterns were corrected. Because of the unfavorable natural course of the disease and the improvement in techniques of coronary revascularization in infants we recommend an early surgical treatment as soon as it be diagnosed. We consider that the most adequate surgical treatment is the direct aortic reimplantation of the anomalous coronary artery.
Cabello
R
R
Departamento de Cirugía Pediátrica, Hospital Infantil Universitario, Virgen del Rocío, Sevilla.
Alvarez
A
A
Cáceres
J
J
Moruno
A
A
Santos
J
J
García-Perla
J L
JL
Romero-Parreño
A
A
Gavilán
J L
JL
Gil-Fournier
M
M
D000015:Abnormalities, Multiple / Q000601:surgery*; D003330:Coronary Vessel Anomalies / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery*
Origen anómalo de la arteria coronaria izquierda en la arteria pulmonar.