Echocardiographic diagnosis and follow-up for ALCAPA syndrome treated with the Takeuchi procedure.
anomalous coronary arteries
congenital heart disease
echocardiography
Journal
Echocardiography (Mount Kisco, N.Y.)
ISSN: 1540-8175
Titre abrégé: Echocardiography
Pays: United States
ID NLM: 8511187
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
10
05
2020
revised:
02
06
2020
accepted:
06
06
2020
pubmed:
1
7
2020
medline:
24
6
2021
entrez:
29
6
2020
Statut:
ppublish
Résumé
We present the case of an 18-year-old man with aborted sudden cardiac death. His initial echocardiogram suggested an anomalous origin of the left coronary artery from the pulmonary artery. Diagnosis was confirmed with coronary angiography. He underwent Takeuchi procedure and fully recovered. A two-year follow-up echocardiogram showed a moderate supravalvular pulmonary stenosis related to the transpulmonary baffle. The presence of extensive collateral circulation should raise suspicion of ALCAPA. Postoperative surveillance in this group of patients needs to be oriented in finding complications such as supravalvular pulmonary stenosis, aortic and pulmonary valve insufficiency, and baffle obstruction and leaks.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1111-1113Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
Hoashi T, Kagisaki K, Okuda N, Yagihara T, Ichikawa H. Indication of Takeuchi technique for patients with anomalous origin of the left coronary artery from the pulmonary artery. Circ J. 2013;77(5):1202-1207.
Patel SG, Frommelt MA, Frommelt PC, Kutty S, Cramer JW. Echocardiographic diagnosis, surgical treatment, and outcomes of anomalous left coronary artery from the pulmonary artery. J Am Soc Echocardiogr. 2017;30(9):896-903.
Wesselhoeft H, Fawcett JS, Johnson AL. Anomalous origin of the left coronary artery from the pulmonary trunk. Its clinical spectrum, pathology, and pathophysiology, based on a review of 140 cases with seven further cases. Circulation. 1968;38:403-425.