Successful treatment of anomalous origin of the left coronary artery from the pulmonary artery in a 5-week-old male infant.
A 5-week-old male infant who was referred to our hospital because of tachypnea and poor feeding. An electrocardiogram showed a deep Q wave in lead aVL, negative T waves in leads I, II, III, aVF and V6 and a positive T wave in VL. Echocardiography revealed severely impaired left ventricular function. Aortography confirmed with a diagnosis of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). Takeuchi's procedure was performed and the patient maintained postoperatively on assisted circulation for 7 hours even though sternal closure delayed until 7 days post operatively. His left ventricular function showed and marked improvement gradually.
Department of Pediatrics, Nippon Medical School Hospital, Tokyo, Japan.
M
M
Kamisago
S
S
Ogawa
Y
Y
Hino
O
O
Jimbo
Y
Y
Nagai
R
R
Hayashi
T
T
Seki
T
T
Ohkubo
J
J
Zhang
H
H
Yamauchi
J
J
Ninomiya
M
M
Yamamoto
D001243:Assisted Circulation; D013504:Cardiovascular Surgical Procedures; D003330:Coronary Vessel Anomalies / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery*; D016277:Ventricular Function, Left