Edwards Inspiris Resilia® valve for mitral replacement in an infant after mechanical valve failure

2018 ◽  
Vol 29 (2) ◽  
pp. 219-221 ◽  
Author(s):  
Radoslaw Jaworski ◽  
Andrzej Kansy ◽  
Mariusz Birbach ◽  
Anna Brodzikowska-Pytel ◽  
Monika Kowalczyk-Domagala ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Mitral Valve ◽  
Aortic Valve ◽  
Pulmonary Artery ◽  
Oral Anticoagulation ◽  
Left Coronary Artery ◽  
Mechanical Valve ◽  
Heparin Infusion ◽  
Mitral Position ◽  
Surgical Implantation

AbstractWe present the surgical implantation of the Edwards Inspiris Resilia® aortic valve in mitral position for mechanical mitral valve failure in a severely ill infant after valve replacement because of anomalous origin of the left coronary artery from the pulmonary artery. The biological valve was chosen because the child could not receive oral anticoagulation and was for several months on heparin infusion. The procedure was safely performed with good haemodynamic result.

scholarly journals Anomalous origin of the left coronary artery from the pulmonary artery: late results with special attention to the mitral valve☆

2009 ◽  
Vol 36 (2) ◽  
pp. 244-249 ◽  
Author(s):  
Walid Ben Ali ◽  
Olivier Metton ◽  
François Roubertie ◽  
Philippe Pouard ◽  
Daniel Sidi ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Mitral Valve ◽  
Pulmonary Artery ◽  
Left Coronary Artery ◽  
Late Results ◽  
Anomalous Origin

scholarly journals Interrupted Aortic Arch With Aortic Valve Atresia, Aorto-Pulmonary Window, Left Coronary Artery to Pulmonary Artery Fistula, and Cat Eye Syndrome

2012 ◽  
Vol 28 (6) ◽  
pp. 299-302
Author(s):  
Diana Ketchum ◽  
Joshua Kailin ◽  
Bobbie Boyd ◽  
William Border
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Pulmonary Artery ◽  
Aortic Arch ◽  
Left Coronary Artery ◽  
Septal Defect ◽  
Interrupted Aortic Arch ◽  
Aberrant Right Subclavian Artery ◽  
Cat Eye Syndrome ◽  
Pulmonary Artery Fistula

This case study describes a newborn male infant with cat eye syndrome, found to have a rare constellation of congenital defects, which included an interrupted aortic arch, type B2 (with aberrant right subclavian artery), aortic valve atresia, aorto-pulmonary window, left coronary artery to pulmonary artery fistula, ventricular septal defect, atrial septal defect, and a restrictive patent ductus arteriosus.

scholarly journals Anomalous origin of the left coronary artery from the pulmonary artery in a patient of advanced age: a case report and analysis

2019 ◽  
Vol 47 (6) ◽  
pp. 2687-2693
Author(s):  
QiongYa Qiu ◽  
JinXiu Yang ◽  
XingXiang Wang
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Left Coronary Artery ◽  
Mechanical Valve ◽  
Anomalous Origin ◽  
Mitral Valve Plasty ◽  
History Of ◽  
Anatomic Results ◽  
The Right

A 61-year-old Chinese man presented with a nearly 30-year history of an anomalous origin of the left coronary artery. He had been diagnosed with an anomalous origin of the left coronary artery in 1989. He then underwent regular echocardiographic examinations and it was found that his heart was gradually enlarging. After a >20-year asymptomatic period, he developed recurrent chest discomfort and palpitation. Coronary computed tomography angiography suggested that the left coronary artery anomaly originated from the pulmonary artery; additionally, the right coronary artery was tortuous and thickened. Coronary angiography showed that the right coronary artery was huge and buckling. The patient underwent corrective surgery of the anomalous origin of the left coronary artery from the pulmonary artery, aortic valve mechanical valve replacement, mitral valve plasty, and tricuspid valve plasty in Fuwai Hospital (National Center of Cardiovascular Disease of China), and the anatomic results of the surgery were good.

scholarly journals Anomalous Origin of Left Coronary Artery From the Pulmonary Artery and Mitral Valve Cleft

2020 ◽  
Vol 13 (12) ◽  
Author(s):  
Yanting Zhang ◽  
Bin Wang ◽  
Li Zhang ◽  
Jing Wang ◽  
Yuman Li ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Mitral Valve ◽  
Pulmonary Artery ◽  
Left Coronary Artery ◽  
Anomalous Origin

scholarly journals Do patients with anomalous origin of the left coronary artery benefit from an early repair of the mitral valve?

2019 ◽  
Vol 57 (1) ◽  
pp. 72-77 ◽  
Author(s):  
Viktoria H M Weixler ◽  
David Zurakowski ◽  
Christopher W Baird ◽  
Alvise Guariento ◽  
Breanna Piekarski ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Mitral Valve ◽  
Pulmonary Artery ◽  
Left Coronary Artery ◽  
Left Ventricular ◽  
Anomalous Origin ◽  
Lv Function ◽  
Z Scores ◽  
Group A ◽  
Group B

Abstract OBJECTIVES The aim of this study was to determine mid-term outcomes of patients with anomalous origin of the left coronary artery from the pulmonary artery undergoing coronary repair only (group A) or simultaneous mitral valve repair (group B). METHODS Patients with anomalous origin of the left coronary artery from the pulmonary artery who underwent surgery from 2000 to 2017 were reviewed. Mitral regurgitation (MR) grade (none, mild, moderate, severe), left ventricular (LV) function [ejection fraction (EF): <40%, 40–50%, >50%] and LV Z-scores (long axis) were assessed preoperatively and at last visit. Outcomes were compared within/between the groups using the Wilcoxon signed-rank test. RESULTS Of 58 patients (67% women; median age 4.4 months), 39 patients were in group A (67%) and 19 patients in group B (33%). The median hospital stay (11 days, interquartile range 5–18) and average follow-up time (2.6 ± 0.5 years) did not differ significantly between the groups (P > 0.05). Four patients in group A (10.3%) underwent mitral valve reintervention. The median MR grade differed significantly between the groups preoperatively (2 vs 3, P < 0.001) but not at the last visit (2 vs 2, P = 0.88); both groups improved significantly (P = 0.021, P < 0.001). EF grade (<40%, 40–50%, >50%) did not differ significantly between the groups at baseline (group A: 38%/23%/38% vs group B: 58%/10%/32%, P = 0.32) or at last visit (group A: 18%/15%/67% vs group B: 26%/16%/58%, P = 0.75); both groups improved significantly (P = 0.004, P = 0.014). The mean LV Z-scores for groups A and B were 3.1 ± 0.5 and 4.5 ± 0.6 before surgery (P < 0.05) and 1.5 ± 0.3 and 2.7 ± 0.6 at last visit (P = 0.77). CONCLUSIONS The repair of anomalous origin of the left coronary artery from the pulmonary artery is associated with improvement in MR, EF and LV dimensions. However, in cases of ≥moderate MR, the risk of mitral valve reintervention may be higher in patients undergoing coronary transfer only.

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