Left subclavian-left coronary artery anastomosis for anomalous origin of the left coronary artery. Long-term follow-up

Kenneth Kesler, D. G. Pennington, S. Nouri, E. Boegner, K. R. Kanter, L. Harvey, S. C. Chen, S. Juriedini, I. Balfour, V. L. Willman

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

From 1972 to 1987, seven patients, from two to 28 months of age, underwent left subclavian artery-left coronary artery anastomosis for anomalous origin of the left coronary artery from the pulmonary trunk. All of these infants, median age 4 months, had severe congestive heart failure caused by anterolateral myocardial infarctions. There were two hospital deaths (29% mortality rate) with no late deaths after an average 10-year follow-up. All survivors have good exercise tolerance New York Heart Association class I), reduction in heart size, and significant improvement or normalization of ventricular function by echocardiography. Patency of the subclavian-left coronary artery anastomosis has been documented in two of four patients who have undergone catheterization. In contrast to other revascularizing procedures for treatment of an anomalous origin of the left coronary artery, anastomosis of the left subclavian to the left coronary artery may be performed without cardiopulmonary bypass or aortic occlusion. Moreover, this procedure appears to have an acceptable mortality rate with excellent long-term functional results in critically ill infants.

Original languageEnglish (US)
Pages (from-to)25-29
Number of pages5
JournalJournal of Thoracic and Cardiovascular Surgery
Volume98
Issue number1
StatePublished - 1989
Externally publishedYes

Fingerprint

Coronary Vessels
Anterior Wall Myocardial Infarction
Subclavian Artery
Exercise Tolerance
Ventricular Function
Mortality
Cardiopulmonary Bypass
Critical Illness
Catheterization
Survivors
Echocardiography
Heart Failure
Lung
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Kesler, K., Pennington, D. G., Nouri, S., Boegner, E., Kanter, K. R., Harvey, L., ... Willman, V. L. (1989). Left subclavian-left coronary artery anastomosis for anomalous origin of the left coronary artery. Long-term follow-up. Journal of Thoracic and Cardiovascular Surgery, 98(1), 25-29.

Left subclavian-left coronary artery anastomosis for anomalous origin of the left coronary artery. Long-term follow-up. / Kesler, Kenneth; Pennington, D. G.; Nouri, S.; Boegner, E.; Kanter, K. R.; Harvey, L.; Chen, S. C.; Juriedini, S.; Balfour, I.; Willman, V. L.

In: Journal of Thoracic and Cardiovascular Surgery, Vol. 98, No. 1, 1989, p. 25-29.

Research output: Contribution to journalArticle

Kesler, K, Pennington, DG, Nouri, S, Boegner, E, Kanter, KR, Harvey, L, Chen, SC, Juriedini, S, Balfour, I & Willman, VL 1989, 'Left subclavian-left coronary artery anastomosis for anomalous origin of the left coronary artery. Long-term follow-up', Journal of Thoracic and Cardiovascular Surgery, vol. 98, no. 1, pp. 25-29.
Kesler, Kenneth ; Pennington, D. G. ; Nouri, S. ; Boegner, E. ; Kanter, K. R. ; Harvey, L. ; Chen, S. C. ; Juriedini, S. ; Balfour, I. ; Willman, V. L. / Left subclavian-left coronary artery anastomosis for anomalous origin of the left coronary artery. Long-term follow-up. In: Journal of Thoracic and Cardiovascular Surgery. 1989 ; Vol. 98, No. 1. pp. 25-29.
@article{22b4d1dbcd424110a16790e7c60cfb8b,
title = "Left subclavian-left coronary artery anastomosis for anomalous origin of the left coronary artery. Long-term follow-up",
abstract = "From 1972 to 1987, seven patients, from two to 28 months of age, underwent left subclavian artery-left coronary artery anastomosis for anomalous origin of the left coronary artery from the pulmonary trunk. All of these infants, median age 4 months, had severe congestive heart failure caused by anterolateral myocardial infarctions. There were two hospital deaths (29{\%} mortality rate) with no late deaths after an average 10-year follow-up. All survivors have good exercise tolerance New York Heart Association class I), reduction in heart size, and significant improvement or normalization of ventricular function by echocardiography. Patency of the subclavian-left coronary artery anastomosis has been documented in two of four patients who have undergone catheterization. In contrast to other revascularizing procedures for treatment of an anomalous origin of the left coronary artery, anastomosis of the left subclavian to the left coronary artery may be performed without cardiopulmonary bypass or aortic occlusion. Moreover, this procedure appears to have an acceptable mortality rate with excellent long-term functional results in critically ill infants.",
author = "Kenneth Kesler and Pennington, {D. G.} and S. Nouri and E. Boegner and Kanter, {K. R.} and L. Harvey and Chen, {S. C.} and S. Juriedini and I. Balfour and Willman, {V. L.}",
year = "1989",
language = "English (US)",
volume = "98",
pages = "25--29",
journal = "Journal of Thoracic and Cardiovascular Surgery",
issn = "0022-5223",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Left subclavian-left coronary artery anastomosis for anomalous origin of the left coronary artery. Long-term follow-up

AU - Kesler, Kenneth

AU - Pennington, D. G.

AU - Nouri, S.

AU - Boegner, E.

AU - Kanter, K. R.

AU - Harvey, L.

AU - Chen, S. C.

AU - Juriedini, S.

AU - Balfour, I.

AU - Willman, V. L.

PY - 1989

Y1 - 1989

N2 - From 1972 to 1987, seven patients, from two to 28 months of age, underwent left subclavian artery-left coronary artery anastomosis for anomalous origin of the left coronary artery from the pulmonary trunk. All of these infants, median age 4 months, had severe congestive heart failure caused by anterolateral myocardial infarctions. There were two hospital deaths (29% mortality rate) with no late deaths after an average 10-year follow-up. All survivors have good exercise tolerance New York Heart Association class I), reduction in heart size, and significant improvement or normalization of ventricular function by echocardiography. Patency of the subclavian-left coronary artery anastomosis has been documented in two of four patients who have undergone catheterization. In contrast to other revascularizing procedures for treatment of an anomalous origin of the left coronary artery, anastomosis of the left subclavian to the left coronary artery may be performed without cardiopulmonary bypass or aortic occlusion. Moreover, this procedure appears to have an acceptable mortality rate with excellent long-term functional results in critically ill infants.

AB - From 1972 to 1987, seven patients, from two to 28 months of age, underwent left subclavian artery-left coronary artery anastomosis for anomalous origin of the left coronary artery from the pulmonary trunk. All of these infants, median age 4 months, had severe congestive heart failure caused by anterolateral myocardial infarctions. There were two hospital deaths (29% mortality rate) with no late deaths after an average 10-year follow-up. All survivors have good exercise tolerance New York Heart Association class I), reduction in heart size, and significant improvement or normalization of ventricular function by echocardiography. Patency of the subclavian-left coronary artery anastomosis has been documented in two of four patients who have undergone catheterization. In contrast to other revascularizing procedures for treatment of an anomalous origin of the left coronary artery, anastomosis of the left subclavian to the left coronary artery may be performed without cardiopulmonary bypass or aortic occlusion. Moreover, this procedure appears to have an acceptable mortality rate with excellent long-term functional results in critically ill infants.

UR - http://www.scopus.com/inward/record.url?scp=0024338621&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024338621&partnerID=8YFLogxK

M3 - Article

VL - 98

SP - 25

EP - 29

JO - Journal of Thoracic and Cardiovascular Surgery

JF - Journal of Thoracic and Cardiovascular Surgery

SN - 0022-5223

IS - 1

ER -