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Adult-type ALCAPA: missed at preoperative evaluation.
Indian J Thorac Cardiovasc Surg
February 2025
Ankara City Hospital Cardiovascular Surgery, Ankara, Turkey.
Unlabelled: The Bland-White-Garland syndrome, or Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA) syndrome, is a rare congenital cardiac anomaly often associated with high mortality, if left untreated. We present a case of a 43-year-old female with undiagnosed ALCAPA who initially underwent mitral valve surgery for severe mitral regurgitation, only to require reoperation due to adult-type ALCAPA. Intraoperatively, the discovery of dilated right coronary artery and its branches and absence of the left coronary ostium prompted further investigation, leading to the diagnosis of adult-type ALCAPA.
View Article and Find Full Text PDFAssociated Cardiac and Extracardiac Anomalies in Patients with Abnormal Coronary Artery from the Pulmonary Artery.
Pediatr Cardiol
January 2025
Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München (DHM), Technische Universität München (TUM), Lazarettstr. 36, 80636, Munich, Germany.
Anomalous origin of coronary arteries from the pulmonary artery (ACAPA) are rare but clinically significant condition with high mortality if left untreated. Even more rarely, ACAPA is associated with other congenital heart defects. From 1974 to 2024, 120 patients with anomalous coronary arteries connected to the pulmonary artery were retrospectively analyzed.
View Article and Find Full Text PDFA Meta-Analysis of Mitral Surgery in Patients Undergoing Surgery for Anomalous Left Coronary Artery: When to Perform Repair?
Pediatr Cardiol
December 2024
Pediatric Cardiac Surgery Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
The present study is the first meta-analysis comparing long-term outcomes in patients undergoing correction for anomalous left coronary artery (ALCAPA) regarding concomitant mitral valve surgery. A systematic literature review was conducted to identify all relevant studies with comparative data on mitral valve surgery performed during surgery for ALCAPA correction. Predefined primary end points included mortality and mitral valve (re)operation.
View Article and Find Full Text PDFAccidental finding of ALCAPA in a child with severe mitral regurgitation: A case study.
Asian Cardiovasc Thorac Ann
November 2024
Pediatric Cardiac Intensive Care Division, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia.
Article Synopsis
- A six-year-old child with a history of cardiac surgery presented with severe mitral valve regurgitation, and during surgery, her coronary artery was injured while addressing epicardial adhesion, leading to low cardiac output.
- Despite successfully repairing the coronary vessels, the persistence of low cardiac output required further evaluation, ultimately revealing ALCAPA syndrome, which complicated the clinical picture.
- The case highlighted the importance of timely diagnosis and the need for combined coronary and mitral repair surgery to improve outcomes in patients with ALCAPA and associated complications.
[First diagnosis of ALCAPA syndrome in adulthood: a rare cause of cardiac arrest].
Inn Med (Heidelb)
September 2024
Zentrum für Notfall- und Rettungsmedizin, Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Straße, 79106, Freiburg, Deutschland.
Article Synopsis
- * Medical imaging identified ALCAPA syndrome, where the left coronary artery is wrongly connected to the pulmonary artery, leading to the cardiac issues.
- * Following intensive care and surgery, the patient recovered and was discharged without any neurological impairment.
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