Direct Reimplantation Procedure in Anomalous Aortic Origin of the Right Coronary Artery: Long-Term Single Center Outcomes
| Autor: | Roland Henaine, Jean Ninet, Christian Bulescu, Olivier Metton, Daouda Amadou, Julia Mitchell |
|---|---|
| Přispěvatelé: | Hôpital Louis Pradel [CHU - HCL], Hospices Civils de Lyon (HCL), Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), ROSSI, Sabine |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Heart disease Coronary Vessel Anomalies sudden death 030204 cardiovascular system & hematology Anastomosis Single Center Sudden death Sudden cardiac death 03 medical and health sciences 0302 clinical medicine [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system medicine.artery Coronary artery anomaly medicine Humans Myocardial infarction Aorta Retrospective Studies business.industry coronary artery anomaly General Medicine medicine.disease Coronary Vessels 3. Good health Surgery surgical procedure [SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system Treatment Outcome myocardial infarction 030228 respiratory system Replantation Right coronary artery Pediatrics Perinatology and Child Health Cardiology and Cardiovascular Medicine business physical effort |
| Zdroj: | World Journal for Pediatric and Congenital Heart Surgery World Journal for Pediatric and Congenital Heart Surgery, 2021, 12 (6), pp.693-699. ⟨10.1177/21501351211027478⟩ |
| ISSN: | 2150-1351 |
| Popis: | Background: Anomalous aortic origin of the right coronary artery is known to be a cause of sudden cardiac death in athletes. There are no specific guidelines concerning treatment strategy in the literature. The aim of this study is to describe and report our experience of direct reimplantation technique in the treatment of this anomaly. Methods: This was a retrospective single center study of 30 patients who underwent surgery in the congenital heart disease unit of Louis Pradel Heart and Lung Hospital between January 2003 and December 2016. The mean follow-up was seven years (3 months-17 years). Results: Thirty patients underwent surgery. The median age was 17 years (0.2-52 years). There were 24 males. The median weight was 58 kg (3.6-118 kg). Fourteen patients were actively engaged in sports. Twenty-six patients had exertional chest pain or syncope. The median time lapse between diagnosis and intervention was 4.5 months (0.5-179 months). Twenty-seven (90%) patients underwent reimplantation of the anomalous coronary artery without transverse aortotomy, while in 3 (10%) patients transverse aortotomy was used to facilitate reimplantation to avoid tension at the anastomosis. There was no early death; one late death occurred in the third postoperative month. At the last follow-up, all patients had returned to normal physical activity without evidence of ischemia. Conclusions: Direct reimplantation allows for a complete restoration of the coronary anatomy and enables patients to return to normal physical activity. Our study shows encouraging results using a direct reimplantation technique without aortotomy. |
| Databáze: | OpenAIRE |
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