Anomalous origin of the left coronary artery from the right pulmonary artery
| Autor: | Kenneth Zahka, Hani A. Hennein, Mohsen Karimi, Ernest Siwik, Minhaz Uddin, Alex Golden, Ahmed Farouk |
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| Rok vydání: | 2009 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty medicine.medical_treatment Coronary Vessel Anomalies Pulmonary Artery Left coronary artery medicine.artery Internal medicine medicine Extracorporeal membrane oxygenation Humans Surgical repair business.industry Angiography Infant Newborn Infant Right pulmonary artery Coronary Vessels Echocardiography Pulmonary artery Cardiology Surgery Female Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures Follow-Up Studies |
| Zdroj: | Journal of cardiac surgery. 24(1) |
| ISSN: | 1540-8191 |
| Popis: | Anomalous origin of the left coronary artery (LCA) from the pulmonary artery (ALCAPA) is a rare congenital anomaly, one which requires a high index of suspicion in order to be diagnosed promptly and managed accurately. ALCAPA from the right branch pulmonary artery (RPA) is a small subset of ALCAPA in general, with only a few reported cases in the world literature. We report two cases of ALCAPA from the RPA: the first case, an infant, presented in severe cardiac failure requiring preoperative extracorporeal membrane oxygenation (ECMO) for stabilization; and the second, a neonate, presented with severe aortic coarctation (CoA). Both patients underwent successful complete surgical repair using a modified surgical technique, and are doing well in midterm follow-up. We describe our operative technique and review the literature of this rare congenital anomaly. |
| Databáze: | OpenAIRE |
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