PEDIATRICS Vol. 34 No. 5 November 1964, pp. 649-657
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Foster, H. R.
Right arrow Articles by Engle, M. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Foster, H. R., Jr.
Right arrow Articles by Engle, M. A.

MITRAL INSUFFICIENCY DUE TO ANOMALOUS ORIGIN OF THE LEFT CORONARY ARTERY FROM THE PULMONARY ARTERY

Harry R. Foster Jr. 1, Jack W. C. Hagstrom 1, Kathryn Hawes Ehlers 1, and Mary Allen Engle 1

1 Departments of Pediatrics and Pathology, The New York Hospital–Cornell University Medical College, New York, New York

An infant and a child with anomalous origin of the left coronary artery from the pulmonary artery have been presented. Each showed evidence of mitral insufficiency as a consequence of ischemic damage to the anterior papillary muscle and supporting myocardium. Changes in projected surgical approach necessitated by this combination have been discussed. Survival of the patient and his suitability for surgery are determined not only by the direction of blood flow in the coronary artery, which is influenced by the pressure in the pulmonary artery as well as by adequacy of collateral circulation, but also by the degree of endomyocardial and mitral valvular damage.

Submitted on April 7, 1964
Accepted on June 11, 1964