Abstract
We read with interest the article titled “The Anesthetic Management and Physiologic Implications in Infants With Anomalous Left Coronary Artery Arising From the Pulmonary Artery” by Fahy et al.1 We congratulate the authors for the successful management of 2 difficult cases of an anomalous left coronary artery arising from the pulmonary artery (ALCAPA). We agree that the main anesthetic goals in patients with an ALCAPA are to ensure adequate right coronary artery perfusion and to prevent any further increases in coronary artery “steal” by preserving the pulmonary vascular resistance by avoiding hyperventilation and high concentrations of inspired oxygen.
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