Journal of Cardiothoracic Surgery | |
A rare case of anomalous origin of the left main coronary artery in an adult patient | |
Nicolas Noiseux4  Samer Mansour1  Carl Chartrand-Lefebvre3  Louis M Stevens4  Jessica Forcillo5  Nancy Poirier2  Pierre O Dionne5  | |
[1] Division of cardiology, Centre Hospitalier de l'Université de Montréal (CHUM) et Centre de recherche du CHUM (CRCHUM), St Urbain Street, Montréal, H2W 1T8, Canada;Division of cardiac surgery, Centre Hospitalier Universitaire Mère-Enfant (CHU-ME), Chemin de la Côte-Sainte-Catherine, Montréal, H3T 1C5, Canada;Department of radiology, Centre Hospitalier de l'Université de Montréal (CHUM) et Centre de recherche du CHUM (CRCHUM), St Urbain Street, Montréal, H2W 1T8, Canada;Division of cardiac surgery, Centre Hospitalier de l'Université de Montréal (CHUM) et Centre de recherche du CHUM (CRCHUM), St Urbain Street, Montréal, H2W 1T8, Canada;Division of cardiac surgery, Centre Hospitalier de l’Université de Montréal (CHUM), St Urbain Street, Montréal, H2W 1T8, Canada | |
关键词: Coronary artery bypass graft; Cardiac surgery; Congenital heart defect; | |
Others : 828945 DOI : 10.1186/1749-8090-8-15 |
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received in 2012-08-18, accepted in 2013-01-11, 发布年份 2013 | |
【 摘 要 】
Anomalous origin of left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that causes a left-to-right shunt via the coronary system, resulting in coronary steal. We report an unusual case of a healthy 48 years-old patient presenting with dyspnea on exertion and mild chest pain who underwent surgical correction of this rare anomaly. Multiple procedures have been proposed in adults with ALCAPA. Although re-implantation of the left main coronary artery (LMCA) to the aorta remains the most physiological correction for this anomaly, the combination of LMCA ligation and coronary artery bypass grafting provides a dual coronary flow system and is preferable when re-implantation is impossible.
【 授权许可】
2013 Dionne et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20140714043423554.pdf | 3157KB | download | |
Figure 2. | 134KB | Image | download |
Figure 1. | 89KB | Image | download |
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