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Anomalous origin of the left pulmonary artery

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https://www.readbyqxmd.com/read/29749648/adult-type-alcapa-syndrome-a-rare-coronary-artery-anomaly
#1
Alexandros P Patrianakos, Adam Hatzidakis, Maria Marketou, Fragiskos I Parthenakis
Anomalous origin of the left coronary artery arising from the pulmonary artery (ALCAPA or Bland-White-Garland syndrome) is a rare but serious congenital coronary artery anomaly, with a poor prognosis without surgical repair. There are two types of ALCAPA syndrome: infant type and adult type. We present a rare case of a 63-year-old female patient, with isolated left anterior descending artery origin from the pulmonary artery. Coronary computed tomography angiography revealed giant and tortuous coronary arteries with many collaterals between the left and right coronary system...
May 11, 2018: Echocardiography
https://www.readbyqxmd.com/read/29716711/cardiac-magnetic-resonance-imaging-myocardial-scar-and-coronary-flow-pattern-in-anomalous-origin-of-left-coronary-artery-from-the-pulmonary-artery
#2
Parag Bhalgat, Abhijeet Naik, Prasanna Salvi, Nilesh Bhadane, Kshiti Shah, Bhawan Paunipagar, Suresh Joshi
BACKGROUND: Anomalous origin of left coronary artery from pulmonary artery (ALCAPA) is a very rare congenital heart defect characterized by myocardial ischemia and ultimately scaring. The scar burden will determine eventual recovery of left ventricular function after corrective surgery. MATERIAL METHOD: All patients with proven diagnosis of ALCAPA and who underwent treatment at present centre were included. Detail echocardiography and cardiac magnetic resonance imaging (CMR) (delayed Gadolinium enhancement) was performed before and after surgery...
March 2018: Indian Heart Journal
https://www.readbyqxmd.com/read/29692231/anomalous-origin-of-the-left-coronary-artery-from-the-pulmonary-artery-alcapa-ccta-demonstration-of-anatomy-relevant-to-adult-ischemic-cardiomyopathy-presentation-and-utilization-of-images-for-virtual-surgical-planning
#3
Jerold S Shinbane, Vaughn Starnes, John Cleveland, Christopher Lee
No abstract text is available yet for this article.
May 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/29662704/diagnosis-of-anomalous-origin-of-the-left-coronary-artery-from-the-pulmonary-artery-with-echocardiography-and-digital-subtraction-angiography
#4
Haiyan Yang, Jinqing Li, Xiaojuan Ji
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a common coronary artery anomaly associated with high mortality and may lead to sudden death if left unrecognized and untreated. This report describes an 8-year-old female who had cardiac murmur but with no clinical symptoms. Electrocardiogram (ECG) was normal, but echocardiography made the diagnosis of ALCAPA. Digital subtraction angiography (DSA) with cardiac catheterization angiography (CAG) confirmed the diagnosis, and finally, the patient received surgery...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29629556/aortic-re-implantation-in-a-case-of-anomalous-origin-of-the-left-coronary-artery-from-the-right-pulmonary-artery-in-a-toddler
#5
Vladlen V Bazylev, Igor E Chernogrivov, Aleksei E Chernogrivov
This tutorial  demonstrates correction of the rarest congenital coronary anomaly, anomalous origin of the left coronary artery from the right pulmonary artery (ALCAPA RPA). We present the features of surgical repair in the case of a toddler patient with an associated atrial septal defect.
February 26, 2018: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/29579197/staged-surgery-for-an-unusual-combination-of-cardiac-and-tracheal-anomalies
#6
Meletios Kanakis, Nagarajan Muthialu, Martin Kostolny
Herein, the case of an infant initially diagnosed with left pulmonary artery sling, ventricular septal defect and a small atrial septal defect is described. Further diagnostic work-up revealed tracheobronchial anomalies and the presence of an anomalous origin of the left coronary artery from the pulmonary artery. The staged surgical management is described.
March 22, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29541807/left-circumflex-coronary-artery-from-the-pulmonary-artery-in-scimitar-syndrome
#7
Ilaria Bo, Thomas Semple, Emma Cheasty, Michael B Rubens, Siew Yen Ho, Michael L Rigby, Edward D Nicol
BACKGROUND: Scimitar syndrome is a rare combination of cardiopulmonary abnormalities found in 1-3 per 1000 live births. Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is only found in 1 in 250-400 congenital heart disease patients. OBJECTIVE: We aimed to investigate the incidence of left circumflex ALCAPA within our referral center's cohort of scimitar syndrome patients. MATERIALS AND METHODS: A review of medical records, cardiac imaging and operative notes from all patients diagnosed with scimitar syndrome at our center between 1992 and 2016 was undertaken and all imaging reviewed...
March 14, 2018: Pediatric Radiology
https://www.readbyqxmd.com/read/29530774/anomalous-left-coronary-artery-from-the-pulmonary-artery-masquerading-as-peripartum-cardiomyopathy
#8
Jonathan Frigault, Valérie Lafrenière-Bessi, Jean Perron, Élisabeth Bédard, François Philippon, Paul Poirier, Éric Larose, Frédéric Jacques
Diagnosed with peripartum cardiomyopathy 8 years earlier, a 45-year-old female suffered sudden cardiac death. Following resuscitation, the patient was diagnosed with an anomalous origin of the left coronary artery from the pulmonary artery and underwent a successful coronary repair. The management of a patient with clinical features of cardiomyopathy is reviewed. Anomalous left coronary artery originating from the pulmonary artery (ALCAPA) is a rare but potentially lethal congenital anomaly affecting 1 in 300,000 live births1 ...
March 9, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29496389/congenital-anomalies-of-the-coronary-arteries
#9
REVIEW
Andrea Silva, Maria João Baptista, Emanuel Araújo
Congenital coronary artery anomalies are modifications of their origin, course or structure and its incidence varies between 0,2 and 5,6% of the general population. Although the majority is asymptomatic, they are the second leading cause of sudden cardiac death in young athletes. The aim of this study is to highlight the main anomalies with hemodynamic significance, including the anomalous origin of a coronary artery from the opposite sinus and anomalous origin of the left coronary artery from pulmonary artery...
April 2018: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/29484042/fetal-mri-diagnosis-of-2-types-of-left-pulmonary-artery-sling
#10
Xuelei Li, Xu Li, David Saul, Zhen Zhao
We report on 2 different types of left pulmonary artery sling (LPAS), types IA and IIB, diagnosed by fetal magnetic resonance imaging (MRI). We suggest that fetal MRI is an effective tool for accurately diagnosing LPAS and helping guide its perinatal management. Fetal MRI is relatively unaffected by the conditions that limit visualization by echocardiography. When prenatal ultrasound detects either a possible anomalous origin of the left pulmonary artery or a tracheobronchial anomaly, fetal MRI may provide additional information to confirm the LPAS diagnosis and classify its type...
December 2017: Radiology Case Reports
https://www.readbyqxmd.com/read/29455824/anomalous-left-coronary-artery-from-pulmonary-artery-in-a-baby-with-pulmonary-atresia-intact-ventricular-septum
#11
Deepa Sasikumar, Sabarinath Menon, Sudip Dutta Baruah, Baiju S Dharan, Debabrata Gohain, Bijulal Sasidharan, Sivasubramanian Sivasankaran
A baby with pulmonary atresia with intact ventricular septum and hypoplastic right ventricle, with suspected right ventricle to coronary communications, was operated on for placing an aortopulmonary shunt. Postoperatively, the baby deteriorated with features of myocardial ischemia. Postmortem examination revealed anomalous origin of left coronary artery from pulmonary artery that caused significant coronary ischemia on ligation of the ductus arteriosus. Although coronary anomalies, including right ventricle dependent coronary circulation, has been well described, this is the first report of anomalous origin of coronary artery from pulmonary artery in a baby with pulmonary atresia and intact ventricular septum...
March 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29451683/prenatal-diagnosis-of-anomalous-origin-of-pulmonary-artery
#12
Xuelei Li, Zhongping Mu, Xu Li, Zongjie Weng
BACKGROUND: Anomalous origin of the pulmonary arteries is a rare congenital pulmonary vascular malformation that includes unilateral absence of the pulmonary artery (UAPA), anomalous origin of unilateral pulmonary artery (AOPA), and left pulmonary artery sling (LPAS). METHODS: We analyze 15 cases of fetal pulmonary artery abnormalities from 2011 to 2017, detected via prenatal ultrasound at our center. RESULTS: The 15 cases include UAPA (5), AOPA (6), and LPAS (4)...
April 2018: Prenatal Diagnosis
https://www.readbyqxmd.com/read/29400413/pregnancy-and-delivery-outcomes-from-patients-with-repaired-anomalous-origin-of-the-left-coronary-artery-from-the-pulmonary-artery
#13
Miki Kanoh, Kei Inai, Tokuko Shinohara, Eriko Shimada, Mikiko Shimizu, Hirofumi Tomimatsu, Masaki Ogawa, Toshio Nakanishi
AIM: We investigated the clinical courses before and during pregnancy and after delivery in patients with repaired anomalous origin of the left coronary artery from the pulmonary artery to determine the impact of the hemodynamic changes and cardiac function on the selection of the appropriate mode of delivery. METHODS: Six patients who underwent coronary artery reimplantation delivered 10 infants. We scrutinized the patients' hemodynamic changes on echocardiographs and the plasma brain natriuretic peptide levels before and during pregnancy and after delivery, the perinatal outcomes and maternal and fetal events...
February 5, 2018: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29385449/superior-pulmonary-arterial-flap-for-the-repair-of-the-left-coronary-artery-from-the-non-facing-pulmonary-sinus
#14
Chanyapat Kaewsaengeak, Teerapong Tocharoenchok
OBJECTIVES: The anomalous left coronary artery arising from the non-facing pulmonary sinus origin is uncommon but poses a great challenge as its distance precludes direct aortic implantation. We describe an innovative technique for aortic implantation of this anomaly in a 2-month-old infant. METHODS: Using a longitudinal pulmonary arterial flap, coronary tube extension was constructed without pulmonary commissure disturbance. RESULTS: Myocardial recovery after 2-coronary artery system restoration was excellent...
January 29, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29362195/single-ostium-of-the-right-and-left-coronary-artery-from-the-right-pulmonary-artery
#15
Katarzyna Januszewska, Hans-Gerd Kehl, Edward Malec
We describe a newborn with single-ventricle malformation and anomalous origin of both coronary arteries from single ostium in the middle portion of the right pulmonary artery whose coronary anatomy was discovered during the operation and who underwent successful staged operative management. This report presents a unique anatomic association, proposes a means of management, and highlights the importance of intraoperative analysis.
February 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29323747/comprehensive-intraoperative-transesophageal-echocardiography-of-anomalous-left-coronary-artery-from-pulmonary-artery-what-to-look-for-and-where-to-look
#16
Keerthi Chigurupati, Subin Sukesan, Pravin S Lovhale, Baiju S Dharan, Thomas Koshy
Anomalous origin of left coronary artery from pulmonary artery (ALCAPA) accounts for 0.4% of the congenital heart diseases. Comprehensive 2D and 3D transesophageal echocardiographic imaging of a well-collateralized subset of ALCAPA is described. A nonstandard short-axis view of both aorta and pulmonary arteries showed the origin of left coronary artery from the posterior sinus of the pulmonary artery and right coronary artery in its usual position. Pulse-wave interrogation of the coronary arteries showed the direction of flow in opposite directions...
March 2018: Echocardiography
https://www.readbyqxmd.com/read/29317589/successful-treatment-in-a-patient-with-sudden-cardiac-arrest-due-to-anomalous-left-coronary-artery-arising-from-pulmonary-artery
#17
Liping Zhou, Xiaogang Li, Min Qi, Aimin Wang
To enhance the understanding of the left coronary artery originating from the pulmonary artery, we report a case of sudden cardiac arrest during exercise. After successful cardiopulmonary resuscitation, the patient underwent echocardiography and selective coronary angiography, and the disease was firmly diagnosed. Consequently, a thoracic surgery was performed. During the operation, the left coronary artery was transplanted to the root of the aorta and the pulmonary valve and artery were reconstructed. Finally, the surgery was successful...
December 28, 2017: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://www.readbyqxmd.com/read/29276438/multimodal-imaging-of-anomalous-left-coronary-artery-from-the-pulmonary-artery-in-a-75-year-old-woman
#18
Margaret M Fuchs, Rachel J Le, Michael W Cullen, Joseph J Maleszewski, Naser M Ammash
Anomalous origin of the left coronary artery from the pulmonary artery is rare and typically results in mitral regurgitation, ventricular arrhythmias, heart failure, and sudden death. The condition most often manifests itself in early childhood, but some individuals are diagnosed much later. We describe the case of a 75-year-old woman with heart failure in whom stepwise multimodal imaging revealed anomalous origin of the left coronary artery from the pulmonary artery.
December 2017: Texas Heart Institute Journal
https://www.readbyqxmd.com/read/29184269/different-presentation-of-anomalous-origin-of-the-left-coronary-artery-from-the-pulmonary-artery-in-adults-case-reports
#19
Alwaleed Al-Dairy, Yousef Rezaei, Maziar Gholampour Dehaki, Anita Sadeghpour, Zia Totonchi, Hamidreza Pouraliakbar, Alireza Alizadeh Ghavidel
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital cardiac malformation. We report three cases of ALCAPA who survived to adulthood. The first case was a 51-year-old woman who complained of typical chest pain that was diagnosed with ALCAPA using cardiac catheterization and coronary computed tomographic angiography (CTA). The second case was a 30-year-old woman with a history of surgery for atrial septal defect at 10 years old who presented with progressive exertional dyspnea...
November 2017: Iranian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29176139/preoperative-evaluation-and-midterm-outcomes-after-the-surgical-correction-of-anomalous-origin-of-the-left-coronary-artery-from-the-pulmonary-artery-in-50-infants-and-children
#20
Hui-Li Zhang, Shou-Jun Li, Xu Wang, Jun Yan, Zhong-Dong Hua
BACKGROUND: Anomalous origin of the left coronary artery (LCA) from the pulmonary artery (ALCAPA) is a rather rare congenital anomaly that has a profound effect on heart function. This study aimed to retrospectively illustrate the perioperative clinical features, therapy experience, and midterm outcomes after surgical correction, and to determine the value of left ventricular ejection fraction (LVEF) and myocardial viability in differentiating critically ill patients among infants and children with ALCAPA...
December 5, 2017: Chinese Medical Journal
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