title: Successful intraoperative identification of an anomalous origin of the left coronary artery from the pulmonary artery using real time three-dimensional transesophageal echocardiography.
abstract: Anomalous origin of the left coronary artery (LCA) from the pulmonary artery (ALCAPA) is a rare congenital defect that presents only infrequently in adults. An adult diagnosed with ALCAPA, heart failure, and mitral regurgitation underwent surgical ligation of the anomalous origin of the LCA from the pulmonary artery (PA) and coronary artery bypass grafting (CABG). The anomalous origin in the PA and proximal segment of the left anterior descending artery (LAD) was successfully delineated via real time, three-dimensional transesophageal echocardiography during surgery. This modality allows for fast assessment and novel views of complex cardiac abnormalities and can aid in perioperative monitoring.
authors.affiliation: Cardiovascular Center, Cheng-Hsin General Hospital, Taipei, Taiwan.
authors.forename: Yao Dong
authors.initials: YD
authors.lastname: Jin
authors.forename: Ming C
authors.initials: MC
authors.lastname: Hsiung
authors.forename: Shen Kou
authors.initials: SK
authors.lastname: Tsai
authors.forename: Chung-Yi
authors.initials: CY
authors.lastname: Chang
authors.forename: Jeng
authors.initials: J
authors.lastname: Wei
authors.forename: Ching-huei
authors.initials: CH
authors.lastname: Ou
authors.forename: Yi Cheng
authors.initials: YC
authors.lastname: Chang
authors.forename: Kuo Chen
authors.initials: KC
authors.lastname: Lee
authors.forename: Sung-How
authors.initials: SH
authors.lastname: Sue
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007432:Intraoperative Period; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D013577:Syndrome