Anomalous left coronary artery in the infant: recovery of ventricular function following early direct aortic implantation.

A successful direct aortic implantation of an anomalous left coronary artery (ALCA) in an infant is reported. Detailed evaluation of postoperative ventricular function, including repeat cardiac catheterization and serial echocardiography, demonstrated progressive enhancement of ventricular contractility and function. Postoperative angiography confirmed vascular patency. These data support the concept that the ALCA should be corrected by direct aortic implantation early in infancy rather than by expectant treatment or graft interposition.