Anomalous Origin of Left Coronary Artery from the Pulmonary Artery: Does the Management in the Adult differ from that of the Infant? Four Cases of the Bland–White–Garland syndrome

We report four adult patients with anomalous origin of left main coronary artery from the pulmonary artery that presented to us from 1995 to 2006. One died suddenly at the age of 21 years before undergoing surgery, two patients had ligation and left internal mammary artery (LIMA) grafting to the left anterior descending artery, and one had aortic implantation of the left main coronary artery. All three patients who had surgical treatment are doing well.