Anomalous origin of left coronary artery from pulmonary artery

Wilson, Charles L.; Dlabal, Paul W.; Holeyfield, Roy W.; Akins, Cary W.; Knauf, Daniel G.

doi:10.1016/s0022-5223(19)41448-7

Cited by 61 publications

(2 citation statements)

References 32 publications

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“…However, when coronary steal syndrome occurs or collaterals are narrowed, these patients may show symptoms or sudden death. [8,9] Yau et al [10] reported that 66% of 151 adult ALCAPA cases presented with symptoms of angina, shortness of breath or fatigue, 17% with arrhythmia, syncope or sudden death. In the current study, three of six patients diagnosed after infancy were symptomatic and three were asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Anomalous origin of coronary arteries from the pulmonary artery: A single-center experience

Demir

Akbaş

Erdem

et al. 2023

Turk Gogus Kalp Dama

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Background: The aim of the study was to evaluate the clinical and diagnostic findings, treatment, and follow-up of cases of anomalous origin of coronary arteries from the pulmonary artery. Methods: Between January 1998 and June 2021, a total of 14 patients (5 males, 9 females; median age: 15 months; range, 3 to 156 months) diagnosed with anomalous origin of coronary arteries from the pulmonary artery were retrospectively analyzed. Demographic and clinical data of the patients, electrocardiographic, echocardiographic, angiographic, surgical, and follow-up findings were evaluated. Results: The most common symptoms were respiratory distress (n=6) and murmur (n=3). With the exception of three cases, all other patients were diagnosed by echocardiography in the first examination. Severe mitral valve insufficiency was detected in four patients and four other patients had moderate mitral insufficiency on echocardiography. Ejection fraction values ranged between 38 and 79%. Eleven patients underwent direct implantation of the coronary artery into the aorta, and three underwent a Takeuchi procedure. Mortality occurred in only one case. After surgery, mitral insufficiency and ejection fraction values improved. Median follow-up was 62 (range, 5 to 170) months and all patients were asymptomatic, except one who required redo surgery. Conclusion: Anomalous origin of the coronary arteries from the pulmonary artery is an uncommon congenital anomaly. Echocardiography is the main diagnostic tool. If all echocardiographic findings of the coronary anomaly are not investigated thoroughly, the diagnosis may be overlooked.

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Section: Discussionmentioning

confidence: 99%

Anomalous origin of coronary arteries from the pulmonary artery: A single-center experience

Demir

Akbaş

Erdem

et al. 2023

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

show abstract

“…Bland, White and Garland (1933) first recorded an electrocardiogram in an infant with this condition and described the clinical and pathologic features. Only slightly more than 200 such cases have been reported in the literature (Wesselhoeft et al, 1968;Wilson et al, 1977;Askenazi and Nadas 1975). Anomalous origin of the left coronary artery from the pulmonary artery occurs in 1 of 300,000 children and constitutes approximately 0.24% of all congenital cardiac anomalies (Keith 1978).…”

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confidence: 99%