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J Thorac Cardiovasc Surg 1995;109:398-399
© 1995 Mosby, Inc.

LETTERS TO THE EDITOR

Anomalous origin of the left coronary artery from the pulmonary artery: New technique or modification of "old" technique

John L. Myers, MD, John A. Waldhausen, MD

The Pennsylvania State University
The Milton S. Hershey Medical Center
Hershey, PA 17033

To the Editor:

We read with interest the article by Tashiro and associates, Go 1 "Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery: New Operative Technique." Use of native pulmonary artery to fashion a tube that would then allow connection of the left coronary artery to the aorta is an excellent option when direct implantation is not possible.

We discovered a photograph in one of our slide collections (J.A.W.) that depicted an operation proposed by Dr. Harris Shumacker at Indiana University in 1962, more than 30 years ago (Fig. 1). Although the infant died before the operation could be undertaken, it was performed in the autopsy room. Go 2 We believe this "old" technique should be in the congenital heart surgeons' armentarium when faced with a patient in whom the left coronary artery cannot be directly reimplanted and some other technique is required to span the distance from the aorta to the ostium of the left coronary artery.



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  		Fig. 1.

 
References

  1. Tashiro T, Todo K, Haruta Y, Yasunaga H, Nagata M, Nakamura M. Anomalous origin of the left coronary artery from the pulmonary artery. J THORAC CARDIOVASC SURG 1993;106:718-22.[Abstract]
  2. Armer RM, Shumaker HB, Lurie PR, Fisch C. Origin of the left coronary artery from the pulmonary artery without collateral circulation: report of a case with a suggested surgical correction. Pediatrics 1965;32:588-93.[Abstract/Free Full Text]




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