PMID- 23958534
OWN - NLM
STAT- MEDLINE
DCOM- 20140303
LR  - 20221207
IS  - 1522-6662 (Electronic)
IS  - 1098-3511 (Linking)
VI  - 16
IP  - 4
DP  - 2013 Aug 1
TI  - Repair of anomalous left coronary artery from pulmonary artery (ALCAPA) beyond 
      infancy.
PG  - E210-5
LID - 10.1532/HSF98.20131008 [doi]
AB  - Between January 2002 and December 2012, five patients (4 female) underwent 
      corrective surgery for anomalous left coronary artery from pulmonary artery 
      (ALCAPA). They were older than 1 year (range, 3-56 years). One of the 2 patients 
      younger than 10 years had presented with congestive heart failure, and the other 
      had experienced repeated episodes of lower respiratory tract infection since 
      childhood. Of the remaining 3 adult patients, 2 had experienced angina with 
      effort, and 1 patient had had repeated respiratory tract infections since 
      childhood, with mild dyspnea on effort of New York Heart Association (NYHA) class 
      II. Three patients had the anomalous left coronary artery implanted directly into 
      the ascending aorta via coronary-button transfer, and 2 patients underwent 
      coronary artery bypass with obliteration of the left main ostium. Two patients 
      underwent concomitant mitral valve repair procedures, and 1 patient underwent 
      direct closure of a perimembranous ventricular septal defect. Four patients 
      survived the surgery, and 1 patient died because of a persistently low cardiac 
      output. Follow-up times ranged from 3 months to 4 years. All survivors are in 
      NYHA class I and have left ventricular ejection fractions of 45% to 60%, with 
      moderate (n = 1), mild (n = 1), or no (n = 2) mitral insufficiency. We conclude 
      that a few naturally selected patients with ALCAPA do survive beyond infancy and 
      can undergo establishment of 2 coronary systems with satisfactory results.
FAU - Talwar, Sachin
AU  - Talwar S
AD  - Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India. 
      sachintalwar@hotmail.com
FAU - Jha, Aandrei Jivendra
AU  - Jha AJ
FAU - Choudhary, Shiv Kumar
AU  - Choudhary SK
FAU - Gupta, Saurabh Kumar
AU  - Gupta SK
FAU - Airan, Balram
AU  - Airan B
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Heart Surg Forum
JT  - The heart surgery forum
JID - 100891112
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Bland White Garland Syndrome/*surgery
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Plastic Surgery Procedures/*methods
MH  - Treatment Outcome
MH  - Vascular Surgical Procedures/*methods
MH  - Young Adult
EDAT- 2013/08/21 06:00
MHDA- 2014/03/04 06:00
CRDT- 2013/08/21 06:00
PHST- 2013/08/21 06:00 [entrez]
PHST- 2013/08/21 06:00 [pubmed]
PHST- 2014/03/04 06:00 [medline]
AID - A63V047718865162 [pii]
AID - 10.1532/HSF98.20131008 [doi]
PST - ppublish
SO  - Heart Surg Forum. 2013 Aug 1;16(4):E210-5. doi: 10.1532/HSF98.20131008.