ISSN: 1859 - 2872
Results of surgical treatment for patients with anomalous left coronary artery from the pulmonary artery at Hanoi Heart Hospital
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Abstract
Objective: To evaluate the outcome of Anomalous Left Coronary Artery from the Pulmonary Artery (ALCAPA) patients. Subject and method: A retrospective study was conducted on 10 patients with ALCAPA and surgical treatment at Hanoi Heart Hospital from Aug 2004 to January 2018. Result: 10 patients with ALCAPA (3 males and 7 females) with mean age of 6.7 years old. Surgical techniques: 5 cases with direct transplantation, 3 cases with the Takeuchi technique, 2 cases with pericardial patch. Postoperative follow-up time was 24 ± 3.1 months. Posoperative results: Mortality rate was 10%, mitral insufficiency (≥ 3/4) was 30% and LVEF ≥ 50% was 80%. There was two cases of reoperation: Once was due to severe mitral insufficiency, and the other due to fistula of letf coronary artery to pulmonary artery. Conclusion: ALCAPA operation outcomes at Hanoi Heart Hospital is promising with an in-hospital mortality of 0%. Outcomes after 24 months follow-up were 10% of mortality, 20% of re-operation. It is reasonable to use pericardium for coronary artery plasty operation and mitral valve repair is necessary for patients with mitral regurgitation of ≥ 3/4.
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2. Caspi J, Pettitt T, Sperrazza C, Mulder T, Stopa A (2007) Reimplantation of anomalous left coronary artery from the pulmonary artery without mitral valve repair. Ann Thorac Surg 84: 619-623.
3. Lange R, Vogt M, Hörer J, Cleuziou J, Menzel A, Holper K et al (2007) Long-term results of repair of anomalous origin of the left coronary artery from the pulmonary artery. Ann Thorac Surg 83: 1463-1471.
4. Dodge-Khatami A, Mavroudis C, Backer CL (2002) Anomalous origin of the left coronary artery from the pulmonary artery: Collective review of surgical therapy. Ann Thorac Surg 74: 946-955.
5. Piotr A. Kazmierczak, Kottayil BP, Jayakumar K, Dharan BS, Pillai VV, Ajitkumar V, Menon S et al (2011) Anomalous origin of left coronary artery from pulmonary artery in older children and adults: Direct aortic implanta-tion. Ann Thorac Surg 91: 549-554.
6. Takeuchi S, Imamura H, Katsumoto K, Hayashi I, Katohgi T, Yozu R et al (1979) New surgical method for repair of anomalous left coronary artery from pulmonary artery. J Thorac Cardiovasc Surg 78: 7-11.
7. Isomatsu Y, Imai Y, Shin’oka T, Aoki M, Iwata Y (2001) Surgical intervention for anomalous origin of the left coronary artery from the pulmonary artery: The Tokyo experience. J Thorac Cardiovasc Surg 121: 792-797.
8. Alsoufi B, Sallehuddin A, Bulbul Z, Joufan M, Khouqeer F, Canver CC et al (2008) Surgical strategy to establish a dual-coronary system for the management of anomalous left coronary artery origin from the pulmonary artery. Ann Thorac Surg 86: 170-176.
9 Alexi-Meskishvili V, Hetzer R, Weng Y, Lange PE, Jin Z, Berger F et al (1994) Anomalous origin of the left coronary artery from the pulmo-nary artery: Early results with direct aortic reimplantation. J Thorac Cardiovasc Surg 108: 354-362.
10. Elena Pena, Elsie T.Nguyen (2009) Alcaps syndrome: Not just a pediatric dsease. Radiographics 29(2).
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