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

2007 ◽  
Vol 83 (4) ◽  
pp. 1463-1471 ◽  
Author(s):  
Rüdiger Lange ◽  
Manfred Vogt ◽  
Jürgen Hörer ◽  
Julie Cleuziou ◽  
Andrea Menzel ◽  
...  
1983 ◽  
Vol 106 (2) ◽  
pp. 381-388 ◽  
Author(s):  
Douglas S. Moodie ◽  
Derek Fyfe ◽  
Carl C. Gill ◽  
Sebastian A. Cook ◽  
Bruce W. Lytle ◽  
...  

2017 ◽  
Vol 5 ◽  
pp. 2050313X1769571
Author(s):  
Pishoy Gouda ◽  
John Gouda ◽  
Craig Butler ◽  
Robert C Welsh

Anomalous origin of the left coronary artery from the pulmonary artery is rare congenital abnormality that most commonly presents in childhood and is associated with a high mortality. In the elderly, patients may present acutely with arrhythmias or signs of ischemia or with vague chronic presentations of shortness of breath and fatigue. In the high-risk elderly population, it is unclear as to whether conservative surgical management by means of suture ligation of the left coronary artery is associated with positive long-term outcomes. We present a case of a 69-year-old patient diagnosed with anomalous origin of the left coronary artery from the pulmonary artery, which was treated with conservative surgical management and followed up for 15 years with cardiovascular magnetic resonance imaging, with positive outcomes.


2000 ◽  
Vol 8 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Sachin Talwar ◽  
Anil Bhan ◽  
Rajesh Sharma ◽  
Shiv Kumar Choudhary ◽  
Balram Airan ◽  
...  

Between January 1989 and December 1998, 13 patients (7 males) aged 3 months to 32 years, underwent surgery for anomalous left coronary artery from the pulmonary artery. Eight presented with congestive cardiac failure and all had evidence of left ventricular dysfunction. One patient had associated tetralogy of Fallot. Preoperative diagnosis was established by echocardiography and cineangiography. Nine patients underwent Takeuchi repair and 4 had direct implantation of the anomalous artery into the aorta. There were 2 postoperative deaths due to low cardiac output. In survivors, serial echocardiograms demonstrated significant improvement in left ventricular function 3 months to 10 years after surgery. Postoperative angiograms in 4 patients showed a patent aortocoronary tunnel in 3 who underwent Takeuchi repair and a patent aortocoronary anastomosis in one who had direct implantation of the anomalous artery into the aorta. It was concluded that early establishment of a two-coronary system gave gratifying short-term and long-term results.


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