ALCAPA, a possible reason for mitral insufficiency and heart failure in young patients
| Autor: | Arnt E. Fiane, Gry Dahle, Harald L. Lindberg |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Chest Pain medicine.medical_specialty Cardiac output Time Factors Adolescent Coronary Vessel Anomalies Cardiac Output Low Pulmonary Artery Coronary Angiography law.invention Left coronary artery law medicine.artery Internal medicine Cardiopulmonary bypass Humans Medicine Abnormalities Multiple Cardiac Surgical Procedures Retrospective Studies Mitral regurgitation Cardiopulmonary Bypass business.industry Infant Newborn Infant Mitral Valve Insufficiency Retrospective cohort study Prognosis medicine.disease Surgery Dyspnea Treatment Outcome Child Preschool Heart failure Ventricular Fibrillation Pulmonary artery Ventricular fibrillation Cardiology Female Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures Follow-Up Studies |
| Zdroj: | Scandinavian Cardiovascular Journal. 41:51-58 |
| ISSN: | 1651-2006 1401-7431 |
| Popis: | ALCAPA, anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital disease. We have from 1990 to 2003 operated on seven patients in our clinic. The objective of this study was to describe our experience of treating the condition and to remind other doctors of it as a possible diagnosis.The patients were identified by a retrospective review of our clinical records.Symptoms and signs varied from discomfort and pathologic heart murmur to ventricular fibrillation. All patients were operated on by use of cardiopulmonal bypass. Two died postoperatively within one week, two were reoperated later on because of pulmonary artery stenosis.ALCAPA should be suspected if a young patient with no previous history of heart failure presents with dyspnoe, chest pain or dysrhythmia. ALCAPA must be excluded by coronary angiography in younger patients with mitral insufficiency and no other morphological findings. Patients diagnosed early and operated on have a good prognosis. |
| Databáze: | OpenAIRE |
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