scholarly journals Single coronary artery with a fistula to the main pulmonary artery in a patient with tetralogy of Fallot

1977 ◽  
Vol 73 (5) ◽  
pp. 738-741 ◽  
Author(s):  
Joel I. Brenner ◽  
Lawrence R. Burwell ◽  
Marius M. Hubbell ◽  
Maury C. Newton ◽  
L. Jerome Krovetz ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Tetralogy Of Fallot ◽  
Main Pulmonary Artery ◽  
Single Coronary Artery

Repair of Anomalous Single Coronary Artery From the Pulmonary Artery (ASCAPA)

2021 ◽  
pp. 215013512110641
Author(s):  
Srujan Ganta ◽  
John Artrip ◽  
Eleanor L. Schuchardt ◽  
Wyman Lai ◽  
Justin Ryan ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Preoperative Planning ◽  
Main Pulmonary Artery ◽  
Three Dimensional ◽  
Severe Heart Failure ◽  
Normal Function ◽  
Left Ventricular ◽  
Single Coronary Artery ◽  
Lv Dysfunction

We describe the management of an infant presenting with severe heart failure at 6 weeks of age found to have an anomalous single coronary artery originating from the main pulmonary artery (MPA). This patient was transferred to our hospital and ultimately had their coronary artery translocated to the ascending aorta successfully. Preoperative severe left ventricular (LV) dysfunction and moderate/severe mitral regurgitation (MR) improved to normal function and mild-to-moderate MR 6 weeks postrepair. Three-dimensional CT reconstructions proved valuable and allowed for accurate preoperative planning leading to successful coronary transfer.

Successful surgical correction of tetralogy of fallot associated with anomalous left coronary artery connection to pulmonary artery

2020 ◽  
Vol 30 (8) ◽  
pp. 1202-1205
Author(s):  
Pradeep Ramakrishnan ◽  
Kartik P. Ganga ◽  
Devagourou Velayoudam
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Tetralogy Of Fallot ◽  
Left Coronary Artery ◽  
Main Pulmonary Artery ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Surgical Correction ◽  
Anomalous Left Coronary Artery ◽  
Anomalous Left Coronary

AbstractTetralogy of fallot is rarely associated with anomalous left coronary artery connection to main pulmonary artery. High index of suspicion is needed preoperatively to diagnose this association and treat successfully. We present a case of 9-year-old boy with the rare association of tetralogy of fallot and anomalous left coronary artery connection to pulmonary artery with a giant steal intercoronary collateral crossing right ventricular outflow tract who was treated successfully by single-stage surgical correction.

scholarly journals A single coronary artery with left circumflex artery crossing right ventricular outflow tract in tetralogy of Fallot with absent left pulmonary artery

2020 ◽  
Vol 13 (1) ◽  
pp. 87-89
Author(s):  
Vivek Jaswal ◽  
Shyam Kumar Singh Thingnam ◽  
Vikas Kumar ◽  
Ruchit Patel ◽  
Ganesh Kumar Munirathinam ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Ventricular ◽  
Tetralogy Of Fallot ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
Single Coronary Artery ◽  
Circumflex Artery ◽  
Left Circumflex Artery

Tetralogy of Fallot (TOF) with unilateral absence of pulmonary artery and the anomalous coronary artery is a rare combination. Detailed preoperative evaluation of coronary artery anatomy is must to prevent injury to the major vessels crossing right ventricular outflow tract. We report a rare association of single coronary artery with left circumflex artery crossing right ventricular outflow tract close to the pulmonary annulus in tetralogy of Fallot with absent left pulmonary artery in 11-year-old girl. Though there is a great diversity of coronary anomalies in tetralogy of Fallot, the prepulmonic course of left circumflex artery crossing the right ventricular outflow tract (RVOT) close to the pulmonary annulus has rarely been described in the literature. The patient underwent successful primary single lung intracardiac repair. Right ventricular outflow tract obstruction was treated by handmade valved pericardial autologous conduit and release of the tethering of hypoplastic native unicuspid pulmonary valve leaflet maintaining its integrity.

ORIGIN OF THE LEFT CORONARY ARTERY FROM THE PULMONARY ARTERY WITHOUT COLLATERAL CIRCULATION

PEDIATRICS ◽  
1963 ◽  
Vol 32 (4) ◽  
pp. 588-593
Author(s):  
Robert M. Armer ◽  
Harris B. Shumacker ◽  
Paul R. Lurie ◽  
Charles Fisch
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Collateral Circulation ◽  
Left Coronary Artery ◽  
Main Pulmonary Artery ◽  
Coronary Ostium ◽  
Coronary Insufficiency ◽  
Electrocardiographic Findings ◽  
Patch Graft ◽  
Painful Shock

A 4-month-old infant with repeated painful shock-like episodes was shown by the progression of electrocardiographic findings to have coronary insufficiency and finally a myocardial infarction. Selective cineangio-cardiography demonstrated anomalous origin of the left coronary artery from the main pulmonary artery with flow from the pulmonary artery to the myocardium. Preparations for surgical transplantation to the aorta were being made when the infant died. The feasibility of the proposed operation was demonstrated post mortem. A segment of the main pulmonary artery was excised with the coronary ostium at its base and converted into a tube which was anastomosed to the aorta. The defect in the pulmonary artery was repaired with a patch graft of Dacron.

Intermediate Outcomes of Staged Tetralogy of Fallot Repair

2019 ◽  
Vol 10 (6) ◽  
pp. 694-701 ◽  
Author(s):  
Poonam Mahajan ◽  
Eric S. Ebenroth ◽  
Kirsten Borsheim ◽  
Sabena Husain ◽  
Na Bo ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Tetralogy Of Fallot ◽  
Pulmonary Valve ◽  
Surgical Intervention ◽  
Main Pulmonary Artery ◽  
Postoperative Arrhythmia ◽  
Young Infants ◽  
Intermediate Outcomes ◽  
Valve Annulus ◽  
Early Surgical Intervention

Background: The optimal surgical strategy for tetralogy of Fallot (TOF) repair in neonates and young infants requiring early surgical intervention remains controversial. Our surgical center follows the uniform strategy of a staged approach with initial systemic-to-pulmonary artery shunt the majority of time when early surgical intervention is required. We characterized a contemporary cohort of patients with TOF with pulmonary stenosis (PS) undergoing staged repair in order to determine the rate of pulmonary valve-sparing repair (PVSR), growth of the pulmonary valve annulus and pulmonary arteries, postoperative morbidity and mortality, and need for reintervention. Methods: We retrospectively studied patients with TOF/PS who underwent staged repair from 2000 to 2017. Surgical details, postoperative course, and reinterventions were noted. Echocardiographic measurements and Z-score values of pulmonary valve annulus, main pulmonary artery (MPA), right pulmonary artery (RPA), and left pulmonary artery (LPA) diameters were evaluated. Results: Of the 59 patients with staged TOF/PS, PVSR was performed in 25 (42%). There was a 5% incidence of postoperative arrhythmia. The Z-scores of MPA, RPA, and LPA were significantly higher before complete repair when compared to before palliative shunt. The 5 and 10-year survival rates were both 93%, and the probability of freedom from reoperation at 5 and 10 years was 87% and 82%, respectively. Conclusions: Staged repair of TOF in young symptomatic infants results in 42% receiving PVSR, pulmonary artery growth, low incidence of postoperative arrhythmia, and relatively low rate of reoperations.

scholarly journals Noninvasive Demonstration of Dual Coronary Artery Fistulas to Main Pulmonary Artery with 64-Slice Multidetector-Computed Tomography: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Yoshiki Noda ◽  
Ryo Matsutera ◽  
Yoshinori Yasuoka ◽  
Haruhiko Abe ◽  
Hidenori Adachi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Multidetector Computed Tomography ◽  
Coronary Sinus ◽  
Transthoracic Echocardiography ◽  
Adult Population ◽  
Main Pulmonary Artery ◽  
Coronary Artery Fistulas

Coronary artery fistulas, including coronary pulmonary fistulas, are usually discovered accidently among the adult population when undergoing invasive coronary angiographies. We report here a 58-year-old woman with dual fistulas originating from the left anterior descending coronary artery and right coronary sinus to the main pulmonary artery, demonstrating noninvasively with multidetector-computed tomography (MDCT) and transthoracic echocardiography (TTE).

scholarly journals Successful sparing approach between the ascending aorta and the main pulmonary artery to the giant coronary aneurysm of the left main coronary artery

2020 ◽  
Vol 13 (4) ◽  
pp. e234203
Author(s):  
Ken Nakamura ◽  
Kouan Orii ◽  
Takayuki Abe ◽  
Hirofumi Haida
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Left Main Coronary Artery ◽  
Main Pulmonary Artery ◽  
Coronary Aneurysm ◽  
Ascending Aorta ◽  
Left Main ◽  
Giant Coronary Aneurysm

Coronary aneurysm located just above the left main coronary artery (LMT) is rare and difficult to treat. How the aneurysm is accessed is very important as it determines the result of the surgery. A 70-year-old man with a large coronary aneurysm (40 mm in diameter) in the LMT underwent surgery to prevent its rupture; however, there was severe adhesion. Initially, dissection of the ascending aorta or the pulmonary artery seemed necessary to access the aneurysm; however, the process was possible with limited dissection between the ascending aorta and the pulmonary artery, and we succeeded in firmly closing the LMT site of entry.

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