9 cases of anomalous origin of a coronary artery

被引:1
作者
Perez-Negueruela, Carolina [1 ]
Arango-Posada, Cesar [1 ]
Cesar, Sergi [1 ]
Bartrons, Joaquim [1 ]
Carretero, Juan [1 ]
Sarquella-Brugada, Georgia [1 ]
Mayol, Javier [1 ]
Prada, Fredy [1 ]
Maria Caffarena-Calvar, Jose [1 ]
机构
[1] Hosp St Joan de Deu, Area Corazon, Barcelona, Spain
来源
CIRUGIA CARDIOVASCULAR | 2014年 / 21卷 / 03期
关键词
Coronary anomalies; Congenital heart disease; Anomalous origin of left coronary artery; pulmonary artery; Anomalous origin of right coronary artery; Coronary surgery;
D O I
10.1016/j.circv.2014.01.006
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction and objectives: Anomalous origin of a coronary artery from pulmonary artery (ACAPA) is a rare coronary malformation, its impact on cardiac anatomy and function make it very interesting. We describe our experience in the diagnosis and the surgical correction of ACAPA. Patients and methods: We conducted a retrospective study of patients diagnosed and treated with ACAPA from 1997 through 2012 at our institution. Results: A total of 9 cases were treated at our center over a 15-year period. 6 patients were diagnosed following a heart murmur, while 3 debuted with heart failure. Translocation was made from the coronary artery from the pulmonary artery to the aorta in the 8 patients. Myocardial function improved in 2 of the 3 patients who had been compromised, the postoperative survival rate was 100%, one patient died before surgery. 7 patients had some degree of mitral regurgitation before surgery, we find that this intervention improved the mitral regurgitation in 5 patients, remained unchanged in one patient and mitral valve prosthesis was required in another. Conclusions: We found that the ACAPA is not easy to diagnose, it is very important clinical suspicion and early treatment to prevent serious cardiac lesions. (C) 2013 Sociedad Espanola de Cirugia Toracica-Cardiovascular. Published by Elsevier Espana, S. L. All rights reserved.
引用
收藏
页码:204 / 208
页数:5
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