Long-Term Results of Repair of Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery

In the majority of patients with ALCAPA, both ventricular function and mitral valve regurgitation normalize over time. Concomitant mitral reconstruction may not be required upon initial repair. Coronary transfer is the technique of choice today. However, subclavian artery anastomosis may remain an option in selected cases.