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Single-trunk anomalous origin of both coronary arteries from the pulmonary artery. Diagnosis and surgical management

Journal Article · · J. Thorac. Cardiovasc. Surg.; (United States)
OSTI ID:6630340
The cases of two infants with heart failure and myocardial infarction because of single-trunk anomalous origin of both coronary arteries from the pulmonary artery are reported. Electrocardiography and thallium 201 imaging indicated preoperative myocardial infarction. The diagnosis was confirmed by cardiac catheterization and angiography in each case. To our knowledge these are the first reports of this diagnosis being made during life prior to attempts at surgical correction. Both patients underwent cardiac operations and the operative techniques used are described. Corrective operations for this abnormality have not been attempted previously. At autopsy radiopaque contrast material injected into the aorta confirmed flow from the aorta to the coronary arteries.
Research Organization:
Adelaide Children's Hospital, South Australia
OSTI ID:
6630340
Journal Information:
J. Thorac. Cardiovasc. Surg.; (United States), Journal Name: J. Thorac. Cardiovasc. Surg.; (United States) Vol. 87:1; ISSN JTCSA
Country of Publication:
United States
Language:
English