Heart transplant for anomalous origin of left coronary artery from pulmonary artery

Nair, Kiron; Zisman, Lawrence S.; Lader, Ellis; Dimova, Aneta; Canver, Charles C.

doi:10.1016/s0003-4975(02)04279-0

Cited by 25 publications

(8 citation statements)

References 5 publications

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“…Esto se decidió en el caso descrito, con buen resultado inicial y a largo plazo. En aquellos pacientes cuya función cardiaca no mejora a pesar de la cirugía, puede plantearse el trasplante cardiaco 19 .…”

Section: Discussionunclassified

Síndrome de ALCAPA en adulto: Caso clínico

et al. 2017

Rev. méd. Chile

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Section: Discussionunclassified

Síndrome de ALCAPA en adulto: Caso clínico

et al. 2017

Rev. méd. Chile

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“…This procedure is associated with high incidence of supravalvular pulmonary stenosis and obstruction of the baffle . Orthotopic heart transplant is an option in selected adults where the myocardial dysfunction is not reversible despite surgical correction with the establishment of dual coronary system …”

Section: Discussionmentioning

confidence: 99%

“…28 Orthotopic heart transplant is an option in selected adults where the myocardial dysfunction is not reversible despite surgical correction with the establishment of dual coronary system. 29 There has been some controversy on concomitant mitral valve repair at the time of operation for patients with MR. The data are certainly not on the older patient with ALCAPA, and whether this data can be adopted for older patients is not clear.…”

Section: Discussionmentioning

confidence: 99%

The Management of the Older Adult Patient with Anomalous Left Coronary Artery from the Pulmonary Artery Syndrome: A Presentation of Two Cases and Review of the Literature

et al. 2013

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ALCAPA (anomalous left coronary artery from pulmonary artery) syndrome is a rare congenital abnormality that involves an anomalous insertion of the left coronary artery into the pulmonary artery. Ninety percent of patients present in the first year of life with signs and symptoms of heart failure or sudden cardiac death secondary to chronic myocardial ischemia. There have been an increasing number of reports of ALCAPA patients surviving to adulthood. There seems, however, to be a tendency to die suddenly in the third decade of life. Adult survivors are either asymptomatic or present with mitral regurgitation, cardiomyopathy, myocardial ischemia, or malignant arrhythmias. The management of the older patient presenting with symptoms resulting from ischemia and progressive left ventricular dysfunction remains a challenge. Treatment is largely based on guidelines for adult congenital heart disease management and an extrapolation of evidence from heart failure practice. Currently, surgical reimplantation of the anomalous coronary onto the aorta is the mainstay of treatment. The management of heart failure, sudden cardiac death, and ventricular arrhythmia present problems that are not addressed by reimplantation of the anomalous vessel alone. In this report, we present two cases with different modes of presentation and discuss treatment options.

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“…Occlusion in this setting may precipitate ischemia. In advanced cases where there is significant left ventricular dysfunction, cardiac transplantation has also been reported [7]. While percutaneous occlusion has been successfully utilized to treat recanalization following previous repair [8], the use of transcatheter occlusion as primary therapy for ALCAPA has not been reported previously.…”

Section: Discussionmentioning

confidence: 99%