“… 1 , 2 Left main coronary artery (LCA) osteoplasty is the preferred treatment for this condition in children; however, of 39 reported pediatric surgeries, there were 4 deaths and several revision surgeries. One infant internal thoracic artery (ITA) bypass graft was reported in 2020 with 3 childhood patients, 3 and 8 ITA grafts were reported in children from 2.5 years to 15 years in 2018. 4 There is scarcity of reports of using ITA graft in treatment LMCA in infants.…”