Mid-Term Outcome for Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery

This study is a single-centre experience with surgical intervention of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). A retrospective review was performed of patients who underwent ALCAPA repair between November 1991 and October 2017. A total of 138 patients with a...

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Bibliographic Details
Published in:Heart, lung & circulation lung & circulation, 2020-05, Vol.29 (5), p.766-771
Main Authors: Zhang, Changwei, Zhang, Hao, Yan, Jun, Hua, Zhongdong, Song, Yunhu, Sun, Hansong, Li, Shoujun
Format: Article
Language:English
Subjects:
Adolescent
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA)
Bland White Garland Syndrome - diagnosis
Bland White Garland Syndrome - physiopathology
Bland White Garland Syndrome - surgery
Cardiac Surgical Procedures - methods
Child
Child, Preschool
Coronary reimplantation
Coronary Vessels - surgery
Female
Follow-Up Studies
Humans
Infant
Male
Pulmonary Artery - abnormalities
Pulmonary Artery - surgery
Retrospective Studies
Takeuchi repair
Time Factors
Treatment Outcome
Ventricular Function, Left - physiology
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Summary:This study is a single-centre experience with surgical intervention of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). A retrospective review was performed of patients who underwent ALCAPA repair between November 1991 and October 2017. A total of 138 patients with a median age of 36 months underwent ALCAPA repair. The median follow-up period was 3.5 years. Overall, 114 (82.6%) patients received coronary reimplantation, 21 (15.2%) underwent Takeuchi repair, and three (2.1%) were treated by closure of the ALCAPA plus coronary artery bypass graft. Concomitant mitral repair was performed in 50 patients with moderate-to-severe mitral regurgitation (MR). Three (2.1%) patients died in hospital. Three (2.1%) patients needed extracorporeal membrane oxygenation (ECMO) support. Seven (5.0%) patients needed delayed sternal closure. In patients with decreased preoperative left ventricular ejection fraction (LVEF) (
ISSN:1443-9506
1444-2892
DOI:10.1016/j.hlc.2019.04.018