Surgical repair of anomalous origin of the left coronary artery arising from the left pulmonary artery.
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly. We report an extremely uncommon variety of ALCAPA, in which the left coronary artery arose from the left pulmonary artery in a patient who presented with severe heart failure in early infancy. After direct reimplantation of the left coronary artery into the ascending aorta, the patient's cardiac function recovered successfully.
Ono
Masamichi
M
Division of Cardiothoracic, Transplantation, and Vascular Surgery, Hannover Medical School, Hannover, Germany. ono.masamichi@mh-hannover.de
Goerler
Heidi
H
Boethig
Dietmar
D
Breymann
Thomas
T
D000714:Anastomosis, Surgical / Q000379:methods; D000792:Angiography / Q000379:methods; D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D016343:Monitoring, Intraoperative / Q000379:methods; D011300:Preoperative Care / Q000379:methods; D011651:Pulmonary Artery / Q000002:abnormalities / Q000601:surgery*; D018570:Risk Assessment; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*