| Autor: |
Dionne Pierre O, Poirier Nancy, Forcillo Jessica, Stevens Louis M, Chartrand-Lefebvre Carl, Mansour Samer, Noiseux Nicolas |
| Jazyk: |
angličtina |
| Rok vydání: |
2013 |
| Předmět: |
|
| Zdroj: |
Journal of Cardiothoracic Surgery, Vol 8, Iss 1, p 15 (2013) |
| Druh dokumentu: |
article |
| ISSN: |
1749-8090 |
| DOI: |
10.1186/1749-8090-8-15 |
| Popis: |
Abstract Anomalous origin of left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that causes a left-to-right shunt via the coronary system, resulting in coronary steal. We report an unusual case of a healthy 48 years-old patient presenting with dyspnea on exertion and mild chest pain who underwent surgical correction of this rare anomaly. Multiple procedures have been proposed in adults with ALCAPA. Although re-implantation of the left main coronary artery (LMCA) to the aorta remains the most physiological correction for this anomaly, the combination of LMCA ligation and coronary artery bypass grafting provides a dual coronary flow system and is preferable when re-implantation is impossible. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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