Resultados del reimplante coronario para la corrección del origen anómalo de la coronaria izquierda a partir de la arteria pulmonar

Ramírez, Samuel; Curi-Curi, Pedro; Calderón‐Colmenero, Juan; García, J. González; Britton, Cecilia; Erdmenger, Julio; Buendı́a, Alfonso; Cervantes-Salazar, Jorge

doi:10.1016/j.recesp.2011.04.015

Cited by 13 publications

(7 citation statements)

References 29 publications

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“…28 Presently, re-implantation has become the procedure of choice whenever possible with an excellent medium-term survival rate and a low morbidity rate. 29 , 30 Our study findings are in accordance with the literature as 77% of our patients (17/22) underwent this procedure. If the artery cannot be mobilized sufficiently, another option for the repair of ALCAPA is the intrapulmonary tunnel (Takeuchi) procedure, which was performed in five patients in our study.…”

Section: Discussionsupporting

confidence: 91%

Diagnostic Value of Transthoracic Echocardiography in Patients With Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery

Sun

et al. 2016

Medicine

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Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary abnormality associated with early infant mortality and sudden death in adults. Transthoracic echocardiography (TTE) plays an important role in early detection and diagnosis of ALCAPA as a noninvasive modality. However, its diagnostic value is not well studied. The purpose of this study is to determine the performance of TTE in the diagnostic assessment of ALCAPA as compared with coronary CT and invasive coronary angiography.A total of 22 patients (13 women and 9 men, mean age, 12.9 ± 19.5 years) with ALCAPA who underwent echocardiographic examination for clinical diagnosis were retrospectively reviewed and analyzed. Transthoracic echocardiographic features of ALCAPA were analyzed and its diagnostic value was compared with invasive coronary angiography and coronary CT angiography (CTA) with surgical findings serving as the gold standard. Surgery was performed in all of the patients to establish the dual coronary artery system. Five underwent the Takeuchi procedure and 17 had re-implantation of the anomalous left coronary artery. Of 20 patients, echocardiographic diagnoses were in good agreement with findings at surgery, resulting in the diagnostic accuracy of 90.9%. Two cases were misdiagnosed—one as the right coronary artery to pulmonary artery fistula and the other as rheumatic heart disease. The echocardiographic features of these patients with ALCAPA included: abnormal left coronary ostium arising from the pulmonary trunk with retrograde coronary artery flow in 20 patients; enlargement of the right coronary artery in 17 patients; abundant intercoronary septal collaterals in 17 patients; and moderate and significant mitral regurgitation in 14 patients. The diagnostic accuracy of invasive coronary angiography (in 17 patients) and coronary CTA (in 9 patients) was 100%.This study shows that TTE is an accurate, noninvasive imaging modality for displaying the origin of coronary arteries and demonstrating the coronary courses as well as other associated abnormalities in patients with ALCAPA.

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Section: Discussionsupporting

confidence: 91%

Diagnostic Value of Transthoracic Echocardiography in Patients With Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery

Sun

et al. 2016

Medicine

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“…Ectopic pulmonary attachments are usually incompatible with life and in humans are referred to as anomalous left coronary artery from the pulmonary artery, or ALCAPA (78, 79). These usually require surgical repair in affected infants (80). Understanding the mechanisms targeting coronary arteries to the aorta should reveal interesting cell biology, and recapitulating these processes could lead to methods of forming new arterial blood supply in diseased hearts.…”

Section: Establishment Of Coronary Blood Flowmentioning

confidence: 99%

Coronary Artery Development: Progenitor Cells and Differentiation Pathways

Sharma

Chang

Red‐Horse

2017

Annu. Rev. Physiol.

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Coronary artery disease (CAD) is the number one cause of death worldwide and involves the accumulation of plaques within the artery wall that can occlude blood flow to the heart and cause myocardial infarction. The high mortality associated with CAD makes the development of medical interventions that repair and replace diseased arteries a high priority for the cardiovascular research community. Advancements in arterial regenerative medicine could benefit from a detailed understanding of coronary artery development during embryogenesis and of how these pathways might be reignited during disease. Recent research has advanced our knowledge on how the coronary vasculature is built and revealed unexpected features of progenitor cell deployment that may have implications for organogenesis in general. Here, we highlight these recent findings and discuss how they set the stage to interrogate developmental pathways during injury and disease.

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“…Olguların %5'lik kısmında patent duktus arteriosus, atriyal ve ventriküler septal defekt, Fallot tetralojisi, aort koarktasyonu, hipoplastik sol kalp sendromu gibi anomaliler de eşlik edebilir [6] . İskemiye bağlı olarak genellikle posteriyor papiller kasın disfonksiyonu gelişir ve bu durum mitral kapak regurjitasyonuna neden olur [7] .…”

Section: Discussionunclassified

Anesthesia Management in Alcapa Syndrome and The Use Of Intraoperative Transoesophageal Echocardiography

Şaylan¹,

Karadeniz²,

Paç³

et al. 2019

GKDA Derg

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ALCAPA (Anomalous origin of the left coronary artery from pulmonary artery) Sendromu (Bland-White-Garland Sendromu) anormal yerleşimli sol koroner arterin aorta yerine pulmoner arterden çıkışı ile karakterize, ender görülen bir konjenital koroner arter anomalisidir. Anestezi indüksiyonu ve idamesi pek çok nedenle özellik gösterir. Bu olgu sunumu ile sık rastlanmayan bu sendromda anestezi yönetiminin tartışılması ve intraoperatif transözofageal ekokardiyografi bulgularının paylaşılması, kullanımının önemine dikkat çekilmesi amaçlanmıştır.

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Resultados del reimplante coronario para la corrección del origen anómalo de la coronaria izquierda a partir de la arteria pulmonar

Cited by 13 publications

References 29 publications

Diagnostic Value of Transthoracic Echocardiography in Patients With Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery

Diagnostic Value of Transthoracic Echocardiography in Patients With Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery

Coronary Artery Development: Progenitor Cells and Differentiation Pathways

Anesthesia Management in Alcapa Syndrome and The Use Of Intraoperative Transoesophageal Echocardiography

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