Aortic Implantation of Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery: Long-Term Outcomes

Mongé, Michael C.; Eltayeb, Osama; Costello, John M.; Sarwark, Anne E.; Carr, Michael R.; Backer, Carl L.

doi:10.1016/j.athoracsur.2015.02.096

Cited by 36 publications

(26 citation statements)

References 30 publications

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“…[11314] Two cases of in-hospital mortalities developed in whom reimplantation surgical technique was implemented. We think that the ligation technique could lead to better outcomes compared with reimplantation technique in patients presenting with cardiogenic shock in the background of ischemic heart.…”

Section: Discussionmentioning

confidence: 99%

“…It can lead to ischemia induced left ventricular (LV) dysfunction and mitral regurgitation (MR). [1] The clinical spectrum of ALCAPA was described by Bland, White, and Garland in 1933, and the condition is sometimes referred to as “the Bland-White-Garland syndrome.”[2]…”

Section: Introductionmentioning

confidence: 99%

“…[134] Myocardial ischemia in the first few months of life leads to typical presentation in infancy as the infant suffers from failure to thrive, profuse sweating, dyspnea, pallor, and poor feeding; however, these symptoms are rarely evident before 2 months of age. As the pulmonary vascular resistance decreases, the runoff into the pulmonary artery from the left coronary artery increases, and myocardial dysfunction becomes more apparent.…”

Section: Introductionmentioning

confidence: 99%

“…As the pulmonary vascular resistance decreases, the runoff into the pulmonary artery from the left coronary artery increases, and myocardial dysfunction becomes more apparent. [13] The patient may present later in life (adult presentation), and rarely malignant arrhythmia leading to sudden death may be the presenting symptom of this anomaly at an older age. [3]…”

Section: Introductionmentioning

confidence: 99%

“…[567] Several surgical techniques have been described for the repair of ALCAPA. [18910] In 1960, Sabiston et al . described the ligation of the left coronary artery at its origin from the pulmonary artery.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Mid-term outcomes of surgical repair for anomalous origin of the left coronary artery from the pulmonary artery: In infants, children and adults

et al. 2017

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Background:Anomalous origin of left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital malformation. We sought to evaluate in-hospital and mid-term outcomes of patients with a diagnosis of ALCAPA who underwent surgical repair.Objectives:The objective of this study is to evaluate the mid-term outcomes of surgical repair of ALCAPA at our center and to analyze the surgical techniques used.Materials and Methods:In a retrospective study, we analyzed early and mid-term clinical and echocardiographic data to determine the outcomes of patients who underwent surgical repair of ALCAPA in our institution between 2005 and 2015.Results:Twenty-one patients underwent surgical repair for ALCAPA using aortic reimplantation (n = 10, 47.6%), ostial closure (n = 8, 38.1%), or ligation (n = 3, 14.3%). The median age of patients was 24 months (range 22 days to 51 years). There were 2 (9.5%) in-hospital mortalities in infants undergoing the reimplantation technique. All patients were followed up for a median of 21 months (range 1–60 months). No patients required reoperation, and there was no mortality from discharge to mid-term follow-up. Severe early postoperative mitral regurgitation (MR) was associated with composite end-point, defined as a combination of mortality after surgery, moderate to severe MR, and moderate to severe left ventricular dysfunction at late follow-up (P = 0.019) while mitral valve repair was not (P = 0.469).Conclusion:The surgical management of ALCAPA can be associated with good in-hospital and mid-term outcomes regardless of the age, at which the patient has been operated.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%