Outcomes of anomalous left coronary artery from pulmonary artery repair: beyond normal function

The Annals of Thoracic Surgery
Antonio G CabreraCharles D Fraser

Abstract

Anomalous left coronary artery from pulmonary artery (ALCAPA) is associated with high mortality if left uncorrected. We describe long-term outcomes after surgical repair and ventricular function changes on long-term follow-up. A retrospective review of patients who had ALCAPA repair from January 1996 to December 2011 was completed. Ventricular function was assessed by shortening fraction and ejection fraction, left ventricular end-diastolic dimension, and severity of mitral regurgitation. Speckle tracking echocardiography served as a marker of early myocardial dysfunction. In total, 34 patients underwent ALCAPA repair at median age of 5 months (range, 3 days to 39 years). Surgical interventions included coronary translocation in 31 patients (91%), Takeuchi repair in 2 (6%), and coronary ligation in 1 patient (3%). Concomitant mitral valve repair was performed in 5 patients (15%). No patient required mechanical circulatory support postoperatively. There was no early mortality. At median follow-up of 6 years (range, 1 month to 14 years), there were 5 reoperations: 2 heart transplants (6%), 1 mitral valve replacement (3%), 1 coronary artery bypass graft (3%), and 1 ventricular septal defect closure (3%); there was 1 death 2 years ...Continue Reading

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Citations

Feb 18, 2016·Congenital Heart Disease·John L Colquitt, Ricardo H Pignatelli
Aug 27, 2016·Journal of Cardiothoracic Surgery·Yunfei LingMenglin Tang
Apr 8, 2017·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Prachi P AgarwalSmita Patel
Oct 16, 2015·World Journal for Pediatric & Congenital Heart Surgery·Mohsen Karimi, Paul M Kirshbom
Feb 22, 2018·Case Reports in Cardiology·Ata BajwaRandall Thompson
Jul 7, 2018·Journal of Thoracic Imaging·Lea AzourMatthew D Cham
Jul 25, 2019·Current Opinion in Cardiology·Amine MazineEdward J Hickey
Nov 27, 2019·Circulation. Cardiovascular Imaging·Ligia Lopes Balsalobre TrevizanGilberto Szarf
Feb 20, 2017·Pediatric Cardiology·Biagio CastaldiOrnella Milanesi
Jan 10, 2019·The International Journal of Cardiovascular Imaging·Pascal AmedroMarie Vincenti
Sep 19, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Waleed AlbadiFrançois Roubertie
Apr 15, 2021·The Thoracic and Cardiovascular Surgeon·Renjie HuJinfen Liu
Jan 27, 2019·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Pascal AmedroAlain Lacampagne
May 14, 2021·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Hongxin Chu, Jianming Li
Sep 23, 2020·The Annals of Thoracic Surgery·Monique RadmanUNKNOWN Collaborative Research from the Pediatric Cardiac Intensive Care Society (CoRe-PCICS) Investigators
Aug 26, 2021·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Katherine CashenUNKNOWN Collaborative Research from the Pediatric Cardiac Intensive Care Society (CoRe-PCICS) Investigators
Aug 23, 2021·The Annals of Thoracic Surgery·Amanda S ThomasLazaros Kochilas

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