Noninvasive follow-up of complications after the Takeuchi operation.
Anomalous origin of the left coronary artery from the pulmonary artery is a rare lesion. Untreated, up to 90% of patients die before 1 year of age. The Takeuchi operation and direct coronary artery reimplantation have resulted in low mortality rates and excellent functional outcome. We present the case of a 6-year-old girl with impaired exercise tolerance in whom anomalous origin of the left coronary artery from the pulmonary artery was detected. A Takeuchi operation was performed. Routine follow-up was successfully done by echocardiography. The postoperative anatomy was visualized in detail, including a baffle-to-pulmonary artery fistula and a coronary artery stenosis. Potentially, given current echocardiographic technology in the hands of experienced operators, routine follow-up may be done noninvasively, leaving angiography for nonroutine indications.
Lilje
Christian
C
Department of Pediatric Cardiology, University Heart Center, Hamburg, Germany. lilje@uke.uni-hamburg.de
Lê
Trong-Phi
TP
Ntalakoura
Kalliopi
K
Weil
Jochen
J
Lacour-Gayet
François
F
D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery* / Q000637:transplantation*; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery*; D014463:Ultrasonography; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging* / Q000209:etiology*