A 4-month-old infant with an anomalous left coronary artery underwent a surgical correction in the form of tubular reconstruction of the anomalous coronary artery using a cuff of the main pulmonary artery and creation of a viable two-coronary artery system. Subsequently, mitral valve repair was performed for severe mitral insufficiency, which had not abated after the repair of the anomalous coronary artery. This case demonstrates the difficulties in diagnosing such patients, along with the advantage of creating a viable two-coronary artery system in such sick infants.
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