Definitive surgical treatment of anomalous origin of left coronary artery from pulmonary artery: Indications and results

Cooley, Denton A.; Hallman, Grady L.; Bloodwell, Robert D.

doi:10.1016/s0022-5223(19)43255-8

Cited by 155 publications

(36 citation statements)

References 16 publications

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“…In 1966, Cooley and co‐workers first described coronary revascularization in children using an autologous saphenous vein graft (SVG) in an infant with an anomalous left coronary artery (CA) originating from the pulmonary artery (ALCAPA). In 1976, Kitamura et al reported a successful double CABG in a 4‐year‐old child with Kawasaki disease.…”

Section: Introductionmentioning

confidence: 99%

Coronary artery bypass grafting in children

et al. 2018

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Section: Introductionmentioning

confidence: 99%

Coronary artery bypass grafting in children

et al. 2018

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“…21 This was followed by Cooley who utilized the saphenous vein graft (SVG) from the aorta to the LCA. 22 In 1968, Meyer et al described a left subclavian artery to LCA repair. 23 These surgical approaches were proven to be complicated by recanalization of the ALCAPA vessel, an increased risk of atherosclerosis, and severe ischemic MR have been transcended by current techniques.…”

Section: Discussionmentioning

confidence: 99%

The Management of the Older Adult Patient with Anomalous Left Coronary Artery from the Pulmonary Artery Syndrome: A Presentation of Two Cases and Review of the Literature

et al. 2013

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ALCAPA (anomalous left coronary artery from pulmonary artery) syndrome is a rare congenital abnormality that involves an anomalous insertion of the left coronary artery into the pulmonary artery. Ninety percent of patients present in the first year of life with signs and symptoms of heart failure or sudden cardiac death secondary to chronic myocardial ischemia. There have been an increasing number of reports of ALCAPA patients surviving to adulthood. There seems, however, to be a tendency to die suddenly in the third decade of life. Adult survivors are either asymptomatic or present with mitral regurgitation, cardiomyopathy, myocardial ischemia, or malignant arrhythmias. The management of the older patient presenting with symptoms resulting from ischemia and progressive left ventricular dysfunction remains a challenge. Treatment is largely based on guidelines for adult congenital heart disease management and an extrapolation of evidence from heart failure practice. Currently, surgical reimplantation of the anomalous coronary onto the aorta is the mainstay of treatment. The management of heart failure, sudden cardiac death, and ventricular arrhythmia present problems that are not addressed by reimplantation of the anomalous vessel alone. In this report, we present two cases with different modes of presentation and discuss treatment options.

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“…5 Cooley reported the creation of a two-coronary system using a saphenous vein graft to ALCAPA in 1966. 6 Various types of native grafts were suggested with the advance of cardiopulmonary bypass technology. Neches et al described the direct reimplantation of ALCAPA into the aorta by a button technique.…”

Section: Discussionmentioning

confidence: 99%

Repair of Anomalous Origin of the Left Coronary Artery Arising from Right Pulmonary Artery with Rolled-Conduit-Extended Reimplantation in an Adult

Erdinç¹,

Hosgor²,

Karahan³

2011

Journal of Cardiac Surgery

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The left coronary artery arising from the pulmonary artery (ALCAPA) is a rare congenital anomaly. It causes high mortality if untreated in childhood. Only 10% to 15% of patients reach adulthood. We report a successful repair of ALCAPA in an adult with a rolled-conduit-extended-reimplantation technique. The procedure is easily applicable and has technical advantages for creating a longer and wider conduit and may decrease bleeding.

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Definitive surgical treatment of anomalous origin of left coronary artery from pulmonary artery: Indications and results

Cited by 155 publications

References 16 publications

Coronary artery bypass grafting in children

Coronary artery bypass grafting in children

The Management of the Older Adult Patient with Anomalous Left Coronary Artery from the Pulmonary Artery Syndrome: A Presentation of Two Cases and Review of the Literature

Repair of Anomalous Origin of the Left Coronary Artery Arising from Right Pulmonary Artery with Rolled-Conduit-Extended Reimplantation in an Adult

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