Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery Presenting in Adulthood: A French Nationwide Retrospective Study, an Editorial Commentary.

Adults with anomalous left coronary artery from the pulmonary artery typically have multiple venous and arterial collateral arteries surrounding the artery, making precise ligation imperative. Most physicians delay mitral valve repair until left ventricular function improves allowing for reperfusion through a 2-coronary system reimplanting the anomalous left coronary artery from the pulmonary artery into the aorta.