Anomalous Origin of Left Coronary Artery from Pulmonary Artery in Adults

Various techniques have been described for management of anomalous origin of the left coronary artery from the pulmonary artery presenting in adults. Three patients, 1 male and 2 females, aged 27–37 years, underwent transpulmonary pericardial patch closure with concomitant left internal thoracic artery anastomosis to the left anterior descending artery, under standard cardiopulmonary bypass, thus creating a two-coronary system. One patient had concomitant mitral valve repair. All 3 survived the operation. Postoperative angiography in 2 patients revealed good antegrade flow with decreased collaterals in one and competitive inhibition with increased collaterals in the other. This procedure is considered to be the safest and simplest in this subset of patients.

[1]  K. Anastasiadis,et al.  Two-conduit repair for anomalous origin of the left coronary artery from the pulmonary artery in an adult. , 2004, The Journal of thoracic and cardiovascular surgery.

[2]  N. Hayashida,et al.  Anomalous origin of the left coronary artery from the pulmonary artery: successful direct reimplantation in a 50-year-old man. , 2003, Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia.

[3]  C. Selzman,et al.  ALCAPA in an Adult with Preserved Left Ventricular Function , 2003, Journal of cardiac surgery.

[4]  C. Canver,et al.  Heart transplant for anomalous origin of left coronary artery from pulmonary artery. , 2003, The Annals of thoracic surgery.

[5]  C. Mavroudis,et al.  Anomalous origin of the left coronary artery from the pulmonary artery: collective review of surgical therapy. , 2002, The Annals of thoracic surgery.

[6]  F. Van de Werf,et al.  A 72 year old woman with ALCAPA , 2000, Heart.

[7]  C. Brizard,et al.  Excellent long-term functional outcome after an operation for anomalous left coronary artery from the pulmonary artery. , 1999, The Journal of thoracic and cardiovascular surgery.

[8]  M. D. Di Carli,et al.  Myocardial flow reserve in long-term survivors of repair of anomalous left coronary artery from pulmonary artery. , 1998, Journal of the American College of Cardiology.

[9]  G. Karthikeyan,et al.  Anomalous origin of the left coronary artery from the pulmonary artery: is reconstruction of a double coronary artery system always necessary? , 1996, The Journal of thoracic and cardiovascular surgery.

[10]  B. Buxton,et al.  Anomalous left main coronary artery arising from the pulmonary artery in an adult: treatment by internal mammary artery grafting. , 1995, The Journal of thoracic and cardiovascular surgery.

[11]  S. Rao,et al.  Surgical Correction of Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery , 1994, Journal of cardiac surgery.

[12]  E. Voth,et al.  Myocardial ischemia and left-ventricular function after ligation of left coronary artery (Bland-White-Garland syndrome): a long-term follow-up. , 1992, The Thoracic and cardiovascular surgeon.

[13]  D. Sidi,et al.  Anomalous left coronary artery from the pulmonary artery: results of isolated aortic reimplantation. , 1992, The Annals of thoracic surgery.

[14]  C. Mavroudis,et al.  Anomalous origin of the left coronary artery. A twenty-year review of surgical management. , 1992, The Journal of thoracic and cardiovascular surgery.

[15]  W. Baumgartner,et al.  Routine use of the left internal mammary artery graft in the elderly. , 1990, The Annals of thoracic surgery.

[16]  V. Martínez Diago,et al.  [Anomalous origin of the left coronary artery from the pulmonary artery in adults]. , 1989, Revista espanola de cardiologia.

[17]  R. Jonas,et al.  Anomalous origin of left coronary artery from pulmonary artery. Ligation versus establishment of a two coronary artery system. , 1987, The Journal of thoracic and cardiovascular surgery.

[18]  W. C. Sheldon,et al.  Anomalous origin of the left coronary artery from the pulmonary artery (Bland-White-Garland syndrome) in adult patients: long-term follow-up after surgery. , 1983, American heart journal.

[19]  P. Dlabal,et al.  Surgical treatment of anomalous left coronary artery from pulmonary artery: follow-up in teenagers and adults. , 1979, American heart journal.

[20]  E. Vaden.  Anomalous origin of the left coronary artery from the pulmonary artery. , 1949, Clinical proceedings - Children's Hospital of the District of Columbia.