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Journal of Cardiothoracic Surgery

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Open Access 01-12-2019 | Computed Tomography | Case report

Reconstruction of anomalous left coronary artery from pulmonary artery in an adult patient: a case report

Authors: Kazuki Mori, Hirofumi Anai, Tomoyuki Wada, Takashi Shuto, Shinji Miyamoto

Published in: Journal of Cardiothoracic Surgery | Issue 1/2019

Abstract

Background

Anomalous left coronary artery from the pulmonary artery is a congenital heart disease in which myocardial ischemia occurs within 1 year of birth. Adults have been reported to survive owing to the development of collateral perfusion from right coronary artery. In these cases, however, revascularization is necessary to prevent sudden cardiac death.

Case presentation

A 62-year-old female gradually started experiencing dyspnea during exercise. Coronary computed tomography revealed that the left coronary artery arose from the main pulmonary artery. The patient was subsequently diagnosed with adult-type, anomalous left coronary artery from the pulmonary artery. She underwent a surgery, in which a 6-mm vascular prosthesis was passed through the main pulmonary artery to anastomose the left coronary artery and ascending aorta.

Conclusion

Our reconstructive technique using vascular prosthesis is effective for anomalous left coronary artery from pulmonary artery in adults.

Hauser M. Congenital anomalies of the coronary arteries. Heart. 2005;91:1240–5.CrossRef

Yau JM, Singh R, Halpern EJ, Fischman D. Anomalous origin of the left coronary artery from the pulmonary artery in adults: a comprehensive review of 151 adult cases and a new diagnosis in a 53-year-old women. Clin Cadiol. 2011;34:204–10.CrossRef

Takeuchi S, Imamura H, Katsumoto K, Hayashi I, Katohgi T, et al. New surgical method for repair of anomalous left coronary artery from pulmonary artery. J Thorac Cardiovasc Surg. 1979;78:7–11.PubMed

Ginde S, Earing MG, Bartz PJ, Cava JR, Tweddell JS. Late complications after Takeuchi repair of anomalous left coronary artery from the pulmonary artery: case series and review of literature. Pediatr Cardiol. 2012;33:1115–23.CrossRef

Amanullah MM, Hamilton JR, Hasan A. Anomalous left coronary artery from the pulmonary artery: creating an autogenous arterial conduit for aortic implantation. Eur J Cardiothorac Surg. 2001;20:853–5.CrossRef

Rajbanshi BG, Burkhart HM, Schaff HV, Daly RC, Phillips SD, et al. Surgical strategies for anomalous origin of coronary artery from pulmonary artery in adults. J Thorac Cardiovasc Surg. 2014;148:220–4.CrossRef

Alsoufi B, Sallehuddin A, Bulbul Z, Joufan M, Khouqeer F, et al. Surgical strategy to establish a dual-coronary system for the management of anomalous left coronary artery origin from the pulmonary artery. Ann Thorac Surg. 2008;86:170–6.CrossRef

Sese A, Imoto Y. New technique in the transfer of an anomalously originated left coronary artery to the aorta. Ann Thorac Surg. 1992;53:527–9.CrossRef

Ando Y, Kado H, Masuda M, Nakano T, Hinokiyama K, et al. “Spiral-cuff” technique for repair of anomalous left coronary artery from the pulmonary artery. Ann Thorac Surg. 2008;86:667–8.CrossRef

Title: Reconstruction of anomalous left coronary artery from pulmonary artery in an adult patient: a case report
Authors: Kazuki Mori
Hirofumi Anai
Tomoyuki Wada
Takashi Shuto
Shinji Miyamoto
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Computed Tomography
Computed Tomography
Published in: Journal of Cardiothoracic Surgery / Issue 1/2019
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-019-0866-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Reconstruction of anomalous left coronary artery from pulmonary artery in an adult patient: a case report

Abstract

Background

Case presentation

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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