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Evaluation of Anomalous Coronary Arteries from the PulmonaryArtery

View Article: PubMed Central - PubMed

ABSTRACT

Objective: This study evaluated clinical and diagnostic findings, treatment methods, andfollow-up of cases of anomalous coronary arteries from the pulmonaryartery.

Methods: The study included all cases diagnosed with anomalous coronary arteries fromthe pulmonary artery between January 2012 and January 2016. Data frompatients’ demographic characteristics, electrocardiography,echocardiography, angiographic findings, operation, intensive care unitstay, and follow-up were evaluated.

Results: The study included 12 patients (8 male, 4 female), 10 with anomalous leftcoronary artery from the pulmonary artery (ALCAPA) and 2 with anomalousright coronary artery from the pulmonary artery (ARCAPA). Median age atdiagnosis was 4 months (range, 1 month - 10 years old) and median weight was5.5 kg (range, 3-30 kg). The most common complaints were murmur (n=7) andrespiratory distress (n=5). In 4 cases, the initial diagnosis was dilatedcardiomyopathy. Electrocardiographs were pathologic in all cases.Echocardiographic examination revealed medium to severe mitral valveregurgitation in 4 cases and reduced (< 40%) ejection fraction in 6patients. Of the 12 patients, 8 underwent direct implantation of the leftcoronary artery into the aorta, 2 underwent implantation of the rightcoronary artery into the aorta, and the remaining 2 underwent a Takeuchiprocedure. There were no early mortalities. Median hospital stay was 20 days(range, 5-35 days). Median follow-up duration was 18 months (range, 5-36months), and no cases required further surgery during follow-up.

Conclusions: Anomalous coronary arteries from the pulmonary artery can be successfullyrepaired providing there is early diagnosis and effective, appropriateintensive care unit follow-up. Therefore, coronary artery origins should beevaluated carefully, especially in cases with dilated cardiomyopathies.

No MeSH data available.


Related in: MedlinePlus

A, B - Angiographic image of ARCAPA; white arrows showing leftcoronary artery and black arrows showing right coronary artery andC-F - Angiographic image of ALCAPA; white arrows showing rightcoronary artery and black arrows showing left coronary artery.”
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f3: A, B - Angiographic image of ARCAPA; white arrows showing leftcoronary artery and black arrows showing right coronary artery andC-F - Angiographic image of ALCAPA; white arrows showing rightcoronary artery and black arrows showing left coronary artery.”

Mentions: All patients were evaluated with cardiac catheterization and angiography (Figure 3).


Evaluation of Anomalous Coronary Arteries from the PulmonaryArtery
A, B - Angiographic image of ARCAPA; white arrows showing leftcoronary artery and black arrows showing right coronary artery andC-F - Angiographic image of ALCAPA; white arrows showing rightcoronary artery and black arrows showing left coronary artery.”
© Copyright Policy - open-access
Related In: Results  -  Collection

License
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getmorefigures.php?uid=PMC5382903&req=5

f3: A, B - Angiographic image of ARCAPA; white arrows showing leftcoronary artery and black arrows showing right coronary artery andC-F - Angiographic image of ALCAPA; white arrows showing rightcoronary artery and black arrows showing left coronary artery.”
Mentions: All patients were evaluated with cardiac catheterization and angiography (Figure 3).

View Article: PubMed Central - PubMed

ABSTRACT

Objective: This study evaluated clinical and diagnostic findings, treatment methods, andfollow-up of cases of anomalous coronary arteries from the pulmonaryartery.

Methods: The study included all cases diagnosed with anomalous coronary arteries fromthe pulmonary artery between January 2012 and January 2016. Data frompatients’ demographic characteristics, electrocardiography,echocardiography, angiographic findings, operation, intensive care unitstay, and follow-up were evaluated.

Results: The study included 12 patients (8 male, 4 female), 10 with anomalous leftcoronary artery from the pulmonary artery (ALCAPA) and 2 with anomalousright coronary artery from the pulmonary artery (ARCAPA). Median age atdiagnosis was 4 months (range, 1 month - 10 years old) and median weight was5.5 kg (range, 3-30 kg). The most common complaints were murmur (n=7) andrespiratory distress (n=5). In 4 cases, the initial diagnosis was dilatedcardiomyopathy. Electrocardiographs were pathologic in all cases.Echocardiographic examination revealed medium to severe mitral valveregurgitation in 4 cases and reduced (< 40%) ejection fraction in 6patients. Of the 12 patients, 8 underwent direct implantation of the leftcoronary artery into the aorta, 2 underwent implantation of the rightcoronary artery into the aorta, and the remaining 2 underwent a Takeuchiprocedure. There were no early mortalities. Median hospital stay was 20 days(range, 5-35 days). Median follow-up duration was 18 months (range, 5-36months), and no cases required further surgery during follow-up.

Conclusions: Anomalous coronary arteries from the pulmonary artery can be successfullyrepaired providing there is early diagnosis and effective, appropriateintensive care unit follow-up. Therefore, coronary artery origins should beevaluated carefully, especially in cases with dilated cardiomyopathies.

No MeSH data available.


Related in: MedlinePlus