Browse > Article
http://dx.doi.org/10.5090/kjtcs.2016.49.5.383

Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adulthood: Challenges and Outcomes  

Kothari, Jignesh (Department of Cardio Vascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, B. J. Medical College, Civil Hospital Campus)
Lakhia, Ketav (Department of Cardio Vascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, B. J. Medical College, Civil Hospital Campus)
Solanki, Parth (Department of Cardio Vascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, B. J. Medical College, Civil Hospital Campus)
Parmar, Divyakant (Department of Cardiac Anesthesia, U. N. Mehta Institute of Cardiology and Research Center, B. J. Medical College, Civil Hospital Campus)
Boraniya, Hiren (Department of Cardio Vascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, B. J. Medical College, Civil Hospital Campus)
Patel, Sanjay (Department of Research, U. N. Mehta Institute of Cardiology and Research Center, B. J. Medical College, Civil Hospital Campus)
Publication Information
Journal of Chest Surgery / v.49, no.5, 2016 , pp. 383-386 More about this Journal
Abstract
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an extremely rare, potentially fatal, congenital anomaly with a high mortality rate in the first year of life. It occurs rarely in adulthood and may appear with malignant ventricular arrhythmia or sudden death. We report a case of a 49-year-old woman with ALCAPA who presented with dyspnea on exertion. Management was coronary artery bypass grafting to the left anterior descending artery and obtuse marginal arteries, closure of the left main coronary artery ostium, and reestablishment of the dual coronary artery system.
Keywords
Coronary artery bypass; Cardiopulmonary bypass;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Wesselhoeft H, Fawcett JS, Johnson AL. 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 1968;38:403-25.   DOI
2 Moodie DS, Fyfe D, Gill CC, et al. Anomalous origin of the left coronary artery from the pulmonary artery (Bland-White-Garland syndrome) in adult patients: long-term follow-up after surgery. Am Heart J 1983;106:381-8.   DOI
3 Neches WH, Mathews RA, Park SC, et al. Anomalous origin of the left coronary artery from the pulmonary artery: a new method of surgical repair. Circulation 1974;50:582-7.   DOI
4 Takeuchi S, Imamura H, Katsumoto K, et al. New surgical method for repair of anomalous left coronary artery from pulmonary artery. J Thorac Cardiovasc Surg 1979;78:7-11.
5 Arciniegas E, Farooki ZQ, Hakimi M, Green EW. Management of anomalous left coronary artery from the pulmonary artery. Circulation 1980;62(2 Pt 2):I180-9.
6 Fortune RL, Baron PJ, Fitzgerald JW. Atresia of the left main coronary artery: repair with left internal mammary artery bypass. J Thorac Cardiovasc Surg 1987;94:150-1.
7 Brooks HS. Two cases of an abnormal coronary artery of the heart arising from the pulmonary artery: with some remarks upon the effect of this anomaly in producing cirsoid dilatation of the vessels. J Anat Physiol 1885;20(Pt 1):26-9.
8 Keith JD. The anomalous origin of the left coronary artery from the pulmonary artery. Br Heart J 1959;21:149-61.   DOI