title: Repair of Anomalous Left Coronary Artery From the Right Pulmonary Artery: A Series of Nine Cases.
abstract: BACKGROUND
  Repair of anomalous left coronary artery from the right pulmonary artery presents a particular technical challenge to the congenital cardiac surgeon. There is disagreement in the literature over the optimal technique for this defect, with some authors advocating for unroofing of the periaortic segment of coronary artery, while others prefer direct aortic reimplantation of the artery.
  
  
  METHODS
  We performed a retrospective study examining outcomes of patients who were repaired for this anomaly at our institution. In-hospital and outpatient follow-up data were analyzed.
  
  
  RESULTS
  Nine patients were identified. Most patients had poor left ventricular function at the time of surgery. All patients in our series were repaired using the direct coronary transfer technique. To date there were no mortalities among the study participants. At last follow-up, all patients with available echocardiograms had normal ventricular function. One patient required reoperation for anastomotic stenosis.
  
  
  CONCLUSIONS
  We demonstrate that using the technique of direct coronary transfer to the aorta, we have achieved excellent results with repair of this defect.
authors.affiliation: Division of Cardiothoracic and Vascular Surgery, Columbia University College of Physicians and Surgeons, Morgan Stanley Children's Hospital of NewYork-Presbyterian, New York, NY, USA.
authors.forename: Clement D
authors.initials: CD
authors.lastname: Marshall
authors.affiliation: Division of Pediatric Cardiology, Columbia University College of Physicians and Surgeons, New York, NY, USA.
authors.forename: Justin
authors.initials: J
authors.lastname: Weigand
authors.affiliation: Division of Pediatric Cardiology, Columbia University College of Physicians and Surgeons, New York, NY, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Sambatakos
authors.affiliation: Division of Pediatric Cardiology, Columbia University College of Physicians and Surgeons, New York, NY, USA.
authors.forename: Denise A
authors.initials: DA
authors.lastname: Hayes
authors.affiliation: Division of Cardiothoracic and Vascular Surgery, Columbia University College of Physicians and Surgeons, Morgan Stanley Children's Hospital of NewYork-Presbyterian, New York, NY, USA.
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Chen
authors.affiliation: Division of Cardiothoracic and Vascular Surgery, Columbia University College of Physicians and Surgeons, Morgan Stanley Children's Hospital of NewYork-Presbyterian, New York, NY, USA.
authors.forename: Jan M
authors.initials: JM
authors.lastname: Quaegebeur
authors.affiliation: Division of Cardiothoracic and Vascular Surgery, Columbia University College of Physicians and Surgeons, Morgan Stanley Children's Hospital of NewYork-Presbyterian, New York, NY, USA eb2709@columbia.edu.
authors.forename: Emile
authors.initials: E
authors.lastname: Bacha
authors.affiliation: Division of Pediatric Cardiology, Columbia University College of Physicians and Surgeons, New York, NY, USA.
authors.forename: Marc E
authors.initials: ME
authors.lastname: Richmond
mesh_terms: D001013:Aorta, Thoracic / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods; D002675:Child, Preschool; D003330:Coronary Vessel Anomalies / Q000503:physiopathology / Q000601:surgery*; D004452:Echocardiography; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D012086:Reoperation; D012092:Replantation; D012189:Retrospective Studies; D016896:Treatment Outcome; D016277:Ventricular Function, Left
keywords: congenital heart disease; coronary artery anomaly; heart failure; myocardial infarction