Anomalous Left Coronary Artery from the Pulmonary Arteryin an Adult
DOI:
https://doi.org/10.1532/HSF98.20121057Abstract
Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart defect that usually presents before the age of 1 year. Several surgical options exist for the correction of ALCAPA; however, debate continues regarding the optimal repair technique in adult populations. We report the case of successful surgical repair of ALCAPA with a direct aortic implantation technique in a 44-year-old mother of 4 children.References
Collins N, Colman J, Benson L, Hansen M, Merchant N, Horlick E. 2007. Successful percutaneous treatment of anomalous left coronary artery from pulmonary artery. Int J Cardiol 122:e29-31.nDodge-Khatami A, Mavroudis C, Backer CL. 2002. Anomalous origin of the left coronary artery from the pulmonary artery: collective review of surgical therapy. Ann Thorac Surg 74:946-55.nHayward PAR, Buxton BF. 2007. Contemporary coronary graft patency: 5-year observational data from a randomized trial of conduits. Ann Thorac Surg 84:795-800.nKottayil BP, Jayakumar K, Dharan BS, et al. 2011. Anomalous origin of left coronary artery from pulmonary artery in older children and adults: direct aortic implantation. Ann Thorac Surg 91:549-54.nMurala JS, Sankar MN, Agarwal R, Golla PN, Nayar PG, Cherian KM. 2006. Anomalous origin of left coronary artery from pulmonary artery in adults. Asian Cardiovasc Thorac Ann 14:38-42.nSabiston DC, Neil CA, Taussig HB. 1960. The direction of blood flow in anomalous left coronary artery arising from the pulmonary artery. Circulation 22:591-7.nWesselhoeft H, Fawcett JC, Johnson AL. 1968. Anomalous origin of the left coronary artery from the pulmonary trunk. Its clinical spectrum, pathology, and pathophysiology, based on a review of 140 cases with seven further cases. Circulation 38:403-25.n