Late presentation and surgical repair of ALCAPA

Toumpourleka, Maria; Belitsis, Georgios; Alonso, Rafael García; Rubens, Michael B.; Moat, Neil

doi:10.1016/j.ijcard.2015.03.202

Cited by 12 publications

(9 citation statements)

References 4 publications

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“…The diagnosis of ALCAPA is an indication for surgical repair. Historically, surgeons used to perform ligation the origin of the LCA or its ostium on the PA. Then Takeuchi's technique was described and consisted of tunneling the LCA through the PA to ascending aorta [9]. The latest techniques recommend a linkage of the LCA to the ascending aorta either by re-implantation (procedure used for our 2 patients) or bypass.…”

Section: Discussionmentioning

confidence: 99%

The Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA) in Senegal

Lèye¹,

Aw²,

Sawadogo³

et al. 2017

IJCTS

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Section: Discussionmentioning

confidence: 99%

The Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA) in Senegal

Lèye¹,

Aw²,

Sawadogo³

et al. 2017

IJCTS

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“…The lateral branch circulation between the RCA and LCA origin from the PA mainly develops at the level of the epicardium (anterior right ventricle, cardiac notch) and the compartment perforation branch. 9 The well-developed collateral circulation prevents local blood flow hypoperfusion and early acute symptoms. Our patient was asymptotic when he was diagnosed with the coronary artery malformation 29 years previously.…”

Section: Discussionmentioning

confidence: 99%

Anomalous origin of the left coronary artery from the pulmonary artery in a patient of advanced age: a case report and analysis

2019

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A 61-year-old Chinese man presented with a nearly 30-year history of an anomalous origin of the left coronary artery. He had been diagnosed with an anomalous origin of the left coronary artery in 1989. He then underwent regular echocardiographic examinations and it was found that his heart was gradually enlarging. After a >20-year asymptomatic period, he developed recurrent chest discomfort and palpitation. Coronary computed tomography angiography suggested that the left coronary artery anomaly originated from the pulmonary artery; additionally, the right coronary artery was tortuous and thickened. Coronary angiography showed that the right coronary artery was huge and buckling. The patient underwent corrective surgery of the anomalous origin of the left coronary artery from the pulmonary artery, aortic valve mechanical valve replacement, mitral valve plasty, and tricuspid valve plasty in Fuwai Hospital (National Center of Cardiovascular Disease of China), and the anatomic results of the surgery were good.

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“…En el abordaje diagnóstico se han utilizado diferentes técnicas para su detección, algunas invasivas, como la arteriografía coronaria 4 , y otras no invasivas, como la TAC de arterias coronarias 5,6 , considerada esta última como de primera línea para el diagnóstico y seguimiento, ya que muestra de manera adecuada la anomalía y tiene el beneficio de aportar información adicional en caso de requerirse manejo quirúrgico 2 . Como parte de los estudios de extensión se han utilizado la RMN de corazón 2 y la perfusión miocárdica 5 para determinar la viabilidad miocárdica y así determinar si los pacientes pueden beneficiarse del tratamiento quirúrgico.…”

Section: B Aunclassified

“…La corrección quirúrgica es considerada el tratamiento estándar, a menos que exista alguna contraindicación 6 . El método de elección es el reparo quirúrgico del defecto realizando redireccionamiento con parche o traslocación de la arteria coronaria izquierda anastomosándola en la aorta, con muy buenos resultados a largo plazo 6 , la cirugía de revascularización queda reservada para casos en que estas técnicas no son posibles y debe asociarse a ligadura del tronco de la coronaria. Otras opciones quirúrgicas incluyen trasplante cardiaco y cierre percutáneo de ACI anómala 2,6 .…”

Section: B Aunclassified