[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
December 1968

Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery in AdultsSurgical Management

Author Affiliations

Durham, NC
From the departments of surgery and medicine, Duke University Medical Center, Durham, NC.

Arch Surg. 1968;97(6):963-968. doi:10.1001/archsurg.1968.01340060141016

DURING recent years considerable attention has been directed toward the diagnosis and management of patients with origin of the left coronary artery from the pulmonary artery. The vast majority of patients with this malformation have early onset of signs and symptoms of myocardial ischemia, usually during the first months of life. It has been recognized, however, that in a few patients the collateral circulation arising from the normal right coronary artery is sufficiently extensive to allow survival to adult life. While some of the older patients with this malformation remain asymptomatic for significant periods, others develop signs and symptoms of myocardial ischemia. It is the purpose of this communication to describe our experience in adults with this lesion and to review the reported observations in the literature.

Report of Cases  Case 1.—A 29-year-old woman was referred to the Duke University Medical Center by Donald H. Tucker, MD, with the history

First Page Preview View Large
First page PDF preview
First page PDF preview