[Anomalous origin of left coronary artery from pulmonary trunk: symptoms, diagnosis and surgical treatment].
Anomalous origin of left coronary artery from pulmonary artery is a rare congenital pathology causing death of most patients because of various arrhythmia and heart failure. The authors present 4 cases of this anomaly with description of clinical course, diagnosis and surgical procedures. The first patient was operated upon in 12 years after mitral valve replacement. Ligation of anterior interventricular and circumflex arteries at their origin in this patient was combined with anastomosis between mammary and anterior interventricular coronary arteries. Reimplantation of the left coronary artery into the aortic root was used in other 3 patients with good immediate postoperative effect. Restoration of left ventricular pump function occurred in all 3 patients.
Belov
Iu V
IuV
Ivanov
A S
AS
Charchian
E R
ER
Baloian
G M
GM
Taraian
M V
MV
D002648:Child; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities*; D012189:Retrospective Studies; D014656:Vascular Surgical Procedures / Q000379:methods*