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Article Synopsis
  • - The KONAR-MFO is a versatile medical device first used in humans in 2013 that offers flexibility and improved delivery, making it suitable for both pediatric and adult patients with complex heart defects.
  • - This study reviews three rare cases treated with the KONAR-MFO for conditions like ALCAPA, post-myocardial infarction VSR, and PVL after mitral valve replacement, all of which showed excellent outcomes within a year.
  • - Follow-ups indicated complete closure of lesions without major complications, highlighting successful transcatheter management for patients deemed high-risk for surgery.
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ALCAPA should be considered in the differential diagnosis of myocarditis, and contrast-enhanced CT or catheterization should be considered even if coronary artery abnormalities are not detected on echocardiography.

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[Analysis on missed diagnosis or misdiagnosis of anomalous origin of left coronary artery from pulmonary artery by echocardiography from one single medical center].

Zhonghua Xin Xue Guan Bing Za Zhi

May 2023

Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei Province Clinical Research Center for Medical Imaging, Hubei Province Key Laboratory of Molecular Imaging, Wuhan 430022, China.

To analyze the reasons of missed diagnosis or misdiagnosis on anomalous origin of left coronary artery from pulmonary artery (ALCAPA) by echocardiography. This is a retrospective study. Patients with ALCAPA who underwent surgical treatment in Union Hospital, Tongji Medical College, Huazhong University of Science and Technology from August 2008 to December 2021 were included.

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Introduction: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare coronary artery anomaly that carries 90% mortality in the first year of life when left untreated. The diagnosis of ALCAPA is rare in adulthood, and it includes a broad spectrum of clinical manifestations, including sudden cardiac death (SCD).

Case Report: We report a rare case of resuscitated sudden cardiac arrest in a 55-year-old female, who was diagnosed with ALCAPA and underwent successful surgical correction and implantable cardioverter defibrillator (ICD) implantation for secondary prevention.

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