ICVTS Click here to goto Smart Canula website
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Interact CardioVasc Thorac Surg 2009;8:67-69. doi:10.1510/icvts.2008.184903
© 2009 European Association of Cardio-Thoracic Surgery
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Milton A. Méier
Miguel L.B. Marcial
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Canale, L. S.
Right arrow Articles by Marcial, M. L.B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Canale, L. S.
Right arrow Articles by Marcial, M. L.B.

Institutional report - Congenital

Surgical treatment of anomalous coronary artery arising from the pulmonary artery

Leonardo S. Canale*, Andrey J.O. Monteiro, Isabela Rangel, Evanice Wetzel, Divino F. Pinto, Rosa C. Barbosa, Milton A. Méier and Miguel L.B. Marcial

Department of Cardiac Surgery, Pro-Cardíaco Hospital, General Polidoro Street, 192, Botafogo, Rio de Janeiro, 22280-000 RJ, Brazil

*Corresponding author. Vieira Souto Avenue 208/901 Ipanema, Rio de Janeiro, 22420-000 RJ, Brazil. Tel.: +55 21 2247-7892, 55 21 9972-2605; fax: +55 21 2535 6066.

E-mail address: leonardo.canale{at}gmail.com (L.S. Canale).

Anomalous coronary arteries arising from the pulmonary trunk is a rare but potentially fatal condition. We report the clinical presentation, surgical treatment and long-term follow-up of seven surgical cases of anomalous left coronary and one case of anomalous right coronary artery arising from the pulmonary artery. Age ranged from 7 months to 13 years (average: 5.09±3.7 years) and weight ranged from 7 to 50 kg (average: 19.9±8.8 kg). Follow-up was 100% complete: average 78 months (S.D.: 52.7 months). Direct reimplantation was the surgical technique in six cases, Takeuchi procedure in one case and subclavian artery interposition in one case. Concomitant mitral valve repair was undertaken in two cases. In two children the coronary artery anomaly was diagnosed and treated only after a first surgery for other congenital heart anomaly. Left ventricle ejection fraction was restored in those cases of pre-operative dysfunction. Mortality was not observed and all children are asymtomatic and free of reoperation.

Key Words: Anomalous coronary artery; Congenital heart defects; Left coronary artery; Right coronary artery

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2009 European Association for Cardio-thoracic Surgery