{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T03:58:07Z","timestamp":1768276687326,"version":"3.49.0"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2008,8,1]],"date-time":"2008-08-01T00:00:00Z","timestamp":1217548800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2008,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951108002369_abs1\" sec-type=\"general\"><jats:title>Background<\/jats:title><jats:p>Anomalous origin of the left coronary artery from the pulmonary trunk is rare, occurring at an incidence of 1 in 300 000. If not diagnosed and treated early, it is life-threatening. Children with the anomaly usually present in infancy with congestive cardiac failure, and are occasionally referred for cardiac transplant. We investigated the medium term outcome for patients following creation of a two-coronary arterial circulation.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951108002369_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Between 1992 and 2007, we diagnosed 15 patients seen at our Institution as having anomalous origin of the left coronary artery from the pulmonary trunk. Over a period of 13 years, aortic reimplantation was undertaken in 12 of these patients, who form the studied cohort.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951108002369_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Direct reimplantation was performed in 5 patients. In 3 cases, a tension-free anastomosis was created using a caudally based flap. In another 3 cases, an extended flap was used, while a patch arterioplasty was fashioned in the final patient. There were no deaths. Left ventricular function recovered in all but one of the patients, and all patients had a reduction in the degree of mitral regurgitation.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951108002369_abs4\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>Among the variety of surgical techniques, transfer of the anomalous left coronary artery to the aorta is the ideal method for long-term patency and adequate blood supply. This can be achieved by creating flaps based on the walls of the pulmonary trunk and aorta, producing a dual coronary arterial supply with no mortality and low morbidity.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951108002369","type":"journal-article","created":{"date-parts":[[2008,6,30]],"date-time":"2008-06-30T09:05:35Z","timestamp":1214816735000},"page":"372-378","source":"Crossref","is-referenced-by-count":5,"title":["Towards an anatomically correct repair for anomalous left coronary artery arising from the pulmonary trunk"],"prefix":"10.1017","volume":"18","author":[{"given":"M.","family":"Muneer Amanullah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony J.","family":"Rostron","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. R.","family":"Leslie Hamilton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milind P.","family":"Chaudhari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asif","family":"Hasan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2008,8,1]]},"reference":[{"key":"S1047951108002369_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s002460010142"},{"key":"S1047951108002369_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(33)90140-4"},{"key":"S1047951108002369_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(83)90207-7"},{"key":"S1047951108002369_ref16","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1016\/S0022-5223(19)34868-8","article-title":"Anomalous origin of the left coronary artery. 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