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Anomalous origin of the left pulmonary artery

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https://www.readbyqxmd.com/read/27923490/surgical-strategies-for-anomalous-origin-of-the-left-coronary-artery-from-the-right-pulmonary-artery-with-an-intramural-aortic-course-a-report-of-10-cases
#1
Hui Zhang, Pei Cheng, Ge Jin, Ding Han, Yi Luo, Jia Li
OBJECTIVE: Few data are available regarding the surgical strategies for an anomalous origin of the left coronary artery (LCA) from the right pulmonary artery (RPA) with an intramural aortic course. We reviewed our experience in a case series of 10 children. METHODS: From 2007 to 2014, 10 patients (7 boys and 3 girls, aged 3 months to 11 years, median 21 months) underwent surgical repair. Before the operation, echocardiography showed the mean left ventricular ejection fraction 45% ± 10% and mean fractional shortening fraction 21% ± 7%...
November 12, 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27882733/anomalous-origin-of-the-right-coronary-artery-first-familial-cases-in-asia
#2
Hideki Motomura, Mari Yokokawa, Hirofumi Fukunaga, Mari Nakagaki, Tomoyuki Hasuwa, Hiroyuki Moriuchi
Congenital coronary artery abnormalities may cause sudden death, particularly in athletes. Two siblings, aged 10 and 9 years, respectively, were diagnosed with anomalous origin of the right coronary artery on multi-detector computed tomography (MDCT). The right coronary artery arose from the left coronary cusp, and was wedged between the aorta and pulmonary artery. This was also noted on cardiac ultrasonography (UCG), but in general this might not be seen on electrocardiography at rest. Although the surgical indications are unclear in the case of unproven ischemia, early recognition of the condition may reduce risk of the cardiac events during exercise...
November 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/27857048/myocardial-scarring-after-repair-of-anomalous-origin-of-the-left-coronary-artery-from-pulmonary-artery
#3
(no author information available yet)
OBJECTIVES: Prognosis of patients with anomalous origin of the left coronary artery from pulmonary artery has dramatically improved as a result of both, early diagnosis and improvements in surgical techniques. Post surgical complications are rare and most patients show quick improvement of the left ventricular performance after repair with complete functional recovery within one year after surgery. Exercise-induced electrocardiographic changes have been found in patients postoperatively and scars and perfusion deficits of the left ventricle may not be detected by standard echocardiographic evaluation...
September 18, 2016: Neuro Endocrinology Letters
https://www.readbyqxmd.com/read/27813221/saline-contrast-echocardiography-for-the-detection-of-anomalous-origin-of-pulmonary-artery-from-aorta
#4
Saurabh Kumar Gupta, Abhishek Gupta
Saline contrast echocardiography is a well-established modality for the diagnosis of right-to-left shunt lesions. In this brief report, we demonstrate, for the first time, its usefulness in the diagnosis of anomalous origin of right pulmonary artery from aorta.
November 4, 2016: Echocardiography
https://www.readbyqxmd.com/read/27785147/temporary-left-ventricular-assistance-for-extreme-postoperative-heart-failure-in-two-infants-with-bland-white-garland-syndrome
#5
Ewa K Urbańska, Szymon Pawlak, Adam Grzybowski, Joanna Śliwka, Jarosław Rycaj, Anna Obersztyn-Zawiślan, Arkadiusz Wierzyk, Roman Przybylski
Anomalous origin of the left coronary artery from the pulmonary artery (Bland-White-Garland syndrome - BWG) is a serious congenital cardiac anomaly leading to myocardial ischemia with severe heart failure. Immediate surgical correction is the treatment of choice, and the risk of postoperative complications depends on the degree of myocardial injury. The authors present two cases of infants with BWG, in whom long-term (175 and 26 days) left ventricular assistance with a Berlin Heart device was used, resulting in successful weaning from the support and subsequent hospital discharge...
September 2016: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
https://www.readbyqxmd.com/read/27773411/an-experience-with-off-pump-technique-for-repair-of-anomalous-left-coronary-artery-from-pulmonary-artery-alcapa
#6
Suresh V Joshi, Abhijeet V Naik, Parag S Bhalgat, Bhushan Chavan, Prasanna Salvi
BACKGROUND: Anomalous origin of left coronary artery from pulmonary artery is a very rare disease with incidence of one every 300,000 live births. It has a high mortality of 80% in the first year of life. This observational study summarized our experience using the technique of subclavian arterial bypass without the use of cardiopulmonary bypass (CPB) for treatment of this coronary anomaly in pediatric population. The study aims to revive an earlier technique, with modifications, as an alternative to the existing coronary translocation...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27772603/isolated-anomalous-origin-of-left-pulmonary-artery-from-the-descending-aorta-an-embryologic-ambiguity
#7
Ganesh Kumar Gnanappa, Karina Laohachai, Yishay Orr, Julian Ayer
Anomalous origin of a branch pulmonary artery from the aorta is a rare malformation, accounting for 0.12% of all congenital heart defects. Anomalous origin of the left pulmonary artery from the aorta (ALPA) constitutes a small proportion of these cases. ALPA has been reported to arise from the ascending aorta with various embryologic postulates. We report a case of isolated ALPA arising from the descending aorta in association with a patent ductus arteriosus, to emphasize its embryologic ambiguity.
November 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27734000/anomalous-origin-of-the-left-coronary-artery-from-the-pulmonary-artery-in-adulthood-challenges-and-outcomes
#8
Jignesh Kothari, Ketav Lakhia, Parth Solanki, Divyakant Parmar, Hiren Boraniya, Sanjay Patel
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 a rrhythmia 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...
October 2016: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27635184/unusual-survival-of-anomalous-left-coronary-artery-from-the-pulmonary-artery-with-severe-rheumatic-mitral-stenosis-in-septuagenarian-women-foes-becoming-friends
#9
Santosh Kumar Sinha, Dibbendhu Khanra, Mukesh Jitendra Jha, Karandeep Singh, Mahamdulla Razi, Amit Goel, Vikas Mishra, Mohammad Asif, Mohit Sachan, Nasar Afdaali, Ashutosh Kumar, Ramesh Thakur, Vinay Krishna, Umeshwar Pandey, Chandra Mohan Varma
ALCAPA syndrome (anomalous origin of the left coronary artery from the pulmonary artery) is a rare disease but lethal with clinical expression from myocardial infarction, congestive heart failure to death during early infancy and unusual survival to adulthood. We report a 73-year-old woman with ALCAPA who presented with exertional dyspnea (NYHA functional class II) over past 2 years. Physical examination revealed soft S, long mid diastolic rumbling murmur and apical pan-systolic murmur. Electrocardiography displayed biatrial enlargement and poor R progression and normal sinus rhythm...
October 2016: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/27613425/long-term-results-after-repair-of-anomalous-origin-of-left-coronary-artery-from-the-pulmonary-artery-takeuchi-repair-versus-coronary-transfer
#10
Anneke Neumann, Samir Sarikouch, Dmitry Bobylev, Luitgard Meschenmoser, Thomas Breymann, Mechthild Westhoff-Bleck, Michael Scheid, Ioannis Tzanavaros, Harald Bertram, Philipp Beerbaum, Axel Haverich, Dietmar Boethig, Alexander Horke
OBJECTIVES: We evaluated long-term results of two different repair strategies of anomalous origin of left coronary artery from pulmonary artery (ALCAPA) in two German surgical centres. METHODS: We performed a retrospective review of patients who underwent ALCAPA repair between November 1980 and October 2012. Ventricular function was assessed by standardized transthoracic echocardiographic studies. RESULTS: A total of 30 patients with a median age of 0...
September 9, 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/27602196/anomalous-origin-of-the-left-coronary-artery-from-the-pulmonary-artery-the-role-of-multislice-computed-tomography-msct
#11
Rashid Saif Al Umairi, Faiza Al Kindi, Fadhila Al Busaidi
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary abnormality also known as Bland-White-Garland syndrome. The incidence of ALCAPA is about 1 in every 300,000 live births, and constitutes 0.24% and 0.46% of all congenital cardiac disease. It has a high infant mortality rate reaching up to 90% if left untreated. For many years, the diagnosis of ALCAPA was by angiography or autopsy. However, multislice computed tomography (MSCT) is a non-invasive imaging tool that allows accurate, non-invasive diagnosis of ALCAPA...
September 2016: Oman Medical Journal
https://www.readbyqxmd.com/read/27594935/diagnosis-and-follow-up-of-neonatal-tetralogy-of-fallot-and-hemitruncus-with-discontinuous-pulmonary-arteries-noninvasively-using-awake-ultra-low-dose-computed-tomographic-angiography
#12
Adam Wheeler, Dan Vu, Pierangelo Renella
We present a case of an ex-30 week premature male infant diagnosed postnatally with Tetralogy of Fallot, hemitruncus, and discontinuous pulmonary arteries (PAs) at 6 days of life. The patient was diagnosed by echocardiography, and the diagnosis was confirmed on subsequent dual-energy chest CT angiogram. In our patient, the left PA arose directly from the aorta, whereas the right PA originated normally from the right ventricular outflow tract. At 9 days of life, he underwent successful surgical palliation with placement of a modified Blalock-Taussig (aortopulmonary) shunt from the base of the left subclavian artery to the anomalously connected left PA along with anastomosis together of the right and left branch PAs to establish continuity with the main PA...
September 2016: Radiology case reports
https://www.readbyqxmd.com/read/27565839/repair-of-anomalous-coronary-artery-from-the-pulmonary-artery-a-signal-center-20-year-experience
#13
Jiawei Qiu, Shoujun Li, Jun Yan, Qiang Wang, Yunhu Song, Hansong Sun, Dianyuan Li
BACKGROUND: Anomalous origin of coronary artery from the pulmonary artery (ACAPA) is a rare congenital coronary malformation with a high mortality whether in infants or adult patients. This study reviews 20years of surgical treatment in a single center and aims to establish the optimal surgical strategies for this rare pathology. METHODS AND RESULTS: From April 1994 to March 2015, 96 consecutive patients aged from 3months to 60years underwent coronary repair surgery...
November 15, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27413266/dual-left-anterior-descending-artery-with-anomalous-origin-of-long-lad-from-pulmonary-artery-rare-coronary-anomaly-detected-on-computed-tomography-coronary-angiography
#14
Aditi Vohra, Harneet Narula
Dual left anterior descending artery is a rare coronary artery anomaly showing two left anterior descending arteries. Short anterior descending artery usually arises from the left coronary artery, while long anterior descending artery has anomalous origin and course. Dual left anterior descending artery with origin of long anterior descending artery from the pulmonary artery (ALCAPA) is a very rare coronary artery anomaly which has not been reported previously in the literature. We present the computed tomography coronary angiographic findings of this rare case in a young female patient who presented with atypical chest pain...
April 2016: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/27404630/sudden-death-caused-by-anomalous-origin-of-the-coronary-artery-during-exercise
#15
Akira Kurosu, Kazumi Kuroyanagi, Shinobu Yamauchi, Kazunobu Omura, Kazuyuki Saito
Anomalous origin of the coronary artery (AOCA) is a rare, but important cause of sudden cardiac death among young athletes. Nine autopsy cases (8 male, 1 female; mean age, 17.9 years; age range, 11-31 years) of sudden death during or just after exercise caused by AOCA were reviewed. The exercises performed at the time of death were running (4 cases), soccer (2 cases), and baseball, swimming and kendo (Japanese swordsmanship) (1 case each). In 6 cases, the left coronary artery arose from the right sinus of Valsalva, and in 3, the right coronary artery from the left sinus...
March 2016: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/27393333/evaluation-of-60-cases-of-systemic-pulmonary-shunt-with-cardiopulmonary-bypass
#16
Yoshimasa Uno, Ayumu Masuoka, Kentaro Hotoda, Toshiyuki Katogi, Takaaki Suzuki
OBJECTIVE: In recent years, the median sternotomy approach with cardiopulmonary bypass has been increasingly chosen when systemic-pulmonary shunt surgery is performed as initial palliation for congenital heart diseases with decreased pulmonary blood flow to secure a stable surgical field and to maintain a stable circulation and oxygen supply. Since 2007, this strategy has been applied in our institute. This time, we examine the advantage and disadvantage of this procedure by evaluating the intraoperative and postoperative courses...
October 2016: General Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27353070/echocardiographic-findings-of-an-anomalous-origin-of-the-left-coronary-artery-in-children-and-adolescents-real-or-fake
#17
Shu-Shui Wang, Xin-Xin Chen, Ji-Mei Chen, Zhi-Wei Zhang, Ying Ma, Mei-Ping Huang, Jian Zhuang
An anomalous origin of the left coronary artery (LCA) is a relatively uncommon congenital heart defect that can lead to myocardial ischemia and sudden cardiac death. An LCA arising from the pulmonary artery and an LCA arising from the opposite sinus of Valsalva are the common types of anomalous origins of the LCA. Echocardiographic assessment of the coronary arteries is an important component of the routine cardiovascular evaluation, but echocardiographic "pseudo images" of LCA origination can be present in some patients...
August 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27343534/successful-repair-of-hypoplastic-left-heart-syndrome-with-intact-atrial-septum-congenital-diaphragm-hernia-and-anomalous-origin-of-coronary-artery-defying-the-odds
#18
Shyam Sathanandam, T K Susheel Kumar, Alexander Feliz, Christopher J Knott-Craig
We report a case of an infant who was postnatally diagnosed with hypoplastic left heart syndrome and an intact atrial septum who underwent emergent atrial decompression followed by the Norwood operation. She was also found to have a congenital diaphragmatic hernia on the left side and a congenital eventration of the right diaphragm, both requiring surgical repair. She was later found to have an anomalous origin of the left circumflex coronary artery from the right pulmonary artery that was ligated at the time of the bilateral bidirectional Glenn operation...
July 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27343531/single-trunk-anomalous-origin-of-both-coronary-arteries-from-pulmonary-artery-serendipitous-diagnosis-and-successful-surgical-treatment
#19
Changwei Zhang, Hao Zhang, Huawei Gao, Xu Wang, Jinping Liu, Yuhong Wang, Shoujun Li
The origin of both coronary arteries from the pulmonary artery is generally a lethal condition from progressive heart failure. We report the clinical and surgical course in a child aged 18 months with this anomaly. The left ventricular ejection fraction was profoundly depressed. The common coronary trunk arose from the right anterior facing sinus. Direct coronary implantation to the aorta was used. The patient's left ventricular function improved to a nearly normal state at the 6-month follow-up visit.
July 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27275346/surgical-treatment-of-anomalous-origin-of-right-coronary-artery-in-a-patient-with-mitral-stenosis
#20
Ali Refatllari, Ermal Likaj, Selman Dumani, Endri Hasimi, Artan Goda
BACKGROUND: An anomalous origin of the right coronary artery is rarely observed, with a reported incidence between 0.026% and 0.25%. This condition is often completely asymptomatic and is found incidentally during angiographic evaluation for other cardiac diseases. However some patients present with exertion angina or sudden death. Surgical treatment in patients with anomalous RCA is still controversial. Treatment can be conservative, angioplasty or surgery. CASE PRESENTATION: A 59-year-old man was admitted with severe mitral stenosis...
March 15, 2016: Open Access Macedonian Journal of Medical Sciences
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