Anomalous origin of the left coronary artery from the pulmonary trunk. Clinical features and midterm results after surgical treatment

Amaral, Fernando; Carvalho, J. S.; Granzotti, João Antonio; Shinebourne, E A

doi:10.1590/s0066-782x1999000300004

Cited by 5 publications

(4 citation statements)

References 30 publications

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“…The electrocardiogram is of key importance in the diagnosis of anomalous origin of the left coronary artery, where the presence of a Q wave in the D1 and aVL leads suggests the diagnostic hypothesis of this heart disease. Amaral et al 13 found a Q wave in aVL in 91% of the patients; Bunton et al 5 in 95% of the cases; and Isomatsu et al 14 in 82%. In the present study, this rate was 83% of the patients.…”

Section: Discussionmentioning

confidence: 96%

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Análise da técnica de takeuchi usada para o tratamento da origem anômala da artéria coronária esquerda do tronco pulmonar

Lenzi¹,

Solarewicz²,

Ferreira³

et al. 2008

Arq. Bras. Cardiol.

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Section: Discussionmentioning

confidence: 96%

“…In our study, three patients developed supravalvar stenosis, and two required surgical reintervention. This is the most frequent complication, and its incidence ranges from 18 to 60% 3,4,5,10,13 . The need for surgical reintervention is of approximately 12% to 42%.…”

Section: Discussionmentioning

confidence: 99%

Análise da técnica de takeuchi usada para o tratamento da origem anômala da artéria coronária esquerda do tronco pulmonar

Lenzi¹,

Solarewicz²,

Ferreira³

et al. 2008

Arq. Bras. Cardiol.

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“…It is recommended in all patients at the time of diagnosis, regardless of age or symptoms [13]. Studies known from literature show immediate clinical improvement after surgery and normalization of left ventricle function should be expected [13,14].…”

Section: Discussionmentioning

confidence: 99%

18 years old patient with Bland White Garland syndrome after non‑ST segment elevation myocardial infarction (RCD code: I-1C.3)

Dłużniewska

Podolec

Kostkiewicz

et al. 2015

Journal of Rare Cardiovascular Diseases

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49 year-old patient with multiple myeloma diagnosed a year earlier, after a few cycles of chemotherapy was admitted to hospital with heart failure symptoms accompanied by a rapid atrial flutter. Echocardiography revealed eccentric hypertrophy of the left ventricle and reduced ejection fraction approx. 20% and non sustained ventricular tachycardia episodes in the Holter ECG. Due to the gradually deteriorating patient's condition electrical cardioversion was performed restoring sinus rhythm. Applied pharmacological treatment brought relief of symptoms reported at admission. To clarify the etiology of heart failure coronary angiography was performed excluding the presence of coronary artery disease. Because of the frequent occurrence of amyloidosis in patients with multiple myeloma, the amyloid cardiomyopathy was suspected and the investigation in that direction begun. Histology samples abdominal fat and gums mucous in a hematoxylin and eosin and Sirius red staining showed no signs of amyloidosis. However, bone marrow biopsy revealed the presence of protein corresponding to the extracellular amyloid deposits. The patient died a few months later in hematology clinic due to severe multiple organ failure associated with generalized amyloidosis. JRCD 2015; 2 (2): 60-63

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“…Without the correct diagnosis and corrective surgical treatment there is a reported 90% mortality rate during infancy for ALCAPA [3]. The reported prognosis in the literature for infants with ALCAPA following surgery is a 5-year survival rate of 91% [2].…”

Section: Discussionmentioning

confidence: 99%

Anomalous left coronary artery from pulmonary artery (ALCAPA) in infants: a 5-year review in a defined birth cohort

Brotherton

Philip

2007

Eur J Pediatr

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Anomalous left coronary artery from pulmonary artery (ALCAPA) is a rare congenital cardiac malformation. It presents predominantly in infancy with features of myocardial ischaemia or cardiac failure and may be mistaken for common paediatric conditions such as colic, reflux or bronchiolitis. With early surgical correction the prognosis is good, but awareness of this condition is essential for prompt diagnosis and referral to a tertiary cardiac centre. In this report we review the five cases that presented during our 5-year study period and discuss the incidence and clinical presentation of ALCAPA among infants. Our observed incidence of 1 in 4243 live births--0.023%--is higher than previously reported. ALCAPA may be more common than previously recognised, and there should be a high index of awareness among paediatricians, paediatric trainees and general practitioners to enable early surgical intervention and improved prognosis for these children.

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Anomalous origin of the left coronary artery from the pulmonary trunk. Clinical features and midterm results after surgical treatment

Cited by 5 publications

References 30 publications

Análise da técnica de takeuchi usada para o tratamento da origem anômala da artéria coronária esquerda do tronco pulmonar

Análise da técnica de takeuchi usada para o tratamento da origem anômala da artéria coronária esquerda do tronco pulmonar

18 years old patient with Bland White Garland syndrome after non‑ST segment elevation myocardial infarction (RCD code: I-1C.3)

Anomalous left coronary artery from pulmonary artery (ALCAPA) in infants: a 5-year review in a defined birth cohort

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