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Anomalous Left Coronary Artery From the Pulmonary Artery

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Anomalous origin of the left coronary artery from the right aortic sinus: probably benign variant associated with a subpulmonic intramyocardial course – a case report.

Anja Hanser, Andreas Hornung, Ludger Sieverding, Jürgen Schäfer, Michael Hofbeck,

BackgroundAnomalous aortic origin of the left coronary artery (AAOLCA) from the right aortic sinus is a rare congenital anomaly associated with significantly increased risk of myocardial ischemia, arrhythmias and sudden cardiac death. This refers specifically to AAOLCA associated with interarterial and/or intramural course. Much less is known about anomalous origin ... Read more >>

BMC Pediatr (BMC pediatrics)
[2020, 20:]

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Sudden Cardiac Death Revealed by an Anomalous Origin of the Right Coronary Artery from the Left Sinus of Valsalva.

Samuel Bruls, Rodolphe Durieux, Olivier Gach, Patrizio Lancellotti, Jean-Olivier Defraigne,

Aberrant origin of the coronary artery from the opposite sinus of Valsalva is a rare congenital coronary anomaly associated whit increased risk of myocardial ischemia and sudden death in young patient. We report a case of resuscitated sudden cardiac death in a patient with an anomalous origin of the right ... Read more >>

Ann. Thorac. Surg. (The Annals of thoracic surgery)
[2020, :]

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Myocardial Function Following Repair of Anomalous Origin of Left Coronary Artery from the Pulmonary Artery in Children.

Nitha Naqvi, Sonya V Babu-Narayan, Sylvia Krupickova, Nagarajan Muthialu, Shreesha Maiya, Prathiba Chandershekar, Mun Hong Cheang, Martin Kostolny, Victor Tsang, Jan Marek,

OBJECTIVE:We aimed to assess the change in global and regional myocardial function before and after surgical revascularization and their added value when compared with conventional measures in children with anomalous left coronary artery from the pulmonary artery (ALCAPA). METHODS:Advanced echocardiographic assessment was performed pre- and postoperatively in 22 children with ... Read more >>

J Am Soc Echocardiogr (Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography)
[2020, :]

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Anomalous origin of the left coronary artery from the pulmonary artery: A surgical certainty.

Ayesha Butt, Muhammad Muneer Amanullah, Mehnaz Atiq Amanullah, Asif Hasan, Waris Ahmad,

This study aims to assess the clinical presentation and the outcomes of a surgical correction of an anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). A retrospective review was carried out on the charts of six patients admitted for ALCAPA surgery at Aga Khan University Hospital, ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(3):561-564]

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Effective myocardial perfusion and concomitant haemodynamic status determine the clinical diversity of anomalous left coronary artery from the pulmonary artery.

Amr A Matoq, Amr A Matoq, Takeshi Tsuda,

BACKGROUND:Anomalous left coronary artery from the pulmonary artery is a rare congenital heart disease (CHD) with diverse clinical presentations despite the same anatomy. Factors determining this heterogeneous presentation are not well understood. METHOD AND RESULTS:We retrospectively investigated 14 patients (12 females) who underwent surgical repair of anomalous left coronary artery ... Read more >>

Cardiol Young (Cardiology in the young)
[2020, 30(3):362-368]

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Implantation of a Coronary Sinus Reducer to Treat Refractory Angina in a 38-Year-Old with an Anomalous Left Coronary Artery and No Revascularization Options.

Kevin Cheng, Ranil de Silva,

A 38-year-old female with anomalous left coronary artery from the pulmonary artery presented with refractory angina (Canadian Cardiovascular Society [CCS] class 4). Having failed two previous internal mammary artery grafts to the left anterior descending artery and with no percutaneous revascularization options, she underwent coronary sinus reducer implantation, which improved ... Read more >>

Cardiology (Cardiology)
[2020, 145(3):126-129]

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Malignant right coronary artery in an athlete: Evidence-less based medicine?

Raja Ef Raja Shariff, Sazzli S Kasim,

A 31-year-old man presented with central chest heaviness. He was a smoker of 15 pack-years, but otherwise had no other comorbidities. He was also a professional footballer. There was no family history of sudden cardiac deaths of note. In view of a low to intermediate pre-test probability for coronary artery ... Read more >>

Clin Med (Lond) (Clinical medicine (London, England))
[2020, 20(2):215-216]

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[Analysis of four children with anomalous origin of the left coronary artery from the right sinus with interarterial course].

Q R Li, Z Zhen, J Na, L Gao, Y L Cao, Y Yuan,

Objective: To investigate the clinical features and improve the diagnosis and treatment of anomalous origin of the left coronary artery from the right coronary sinus with an interarterial course (ALCA-R-IAC) between the ascending aorta and main pulmonary artery in children. Methods: A retrospective analysis of the clinical manifestation, laboratory test, ... Read more >>

Zhonghua Er Ke Za Zhi (Zhonghua er ke za zhi = Chinese journal of pediatrics)
[2020, 58(2):113-117]

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Coronary anomalies in tetralogy of Fallot - A meta-analysis.

Claire J Koppel, Monique R M Jongbloed, Philippine Kiès, Mark G Hazekamp, Bart J A Mertens, Martin J Schalij, Hubert W Vliegen,

BACKGROUND:An anomalous coronary artery is reported in 2% to 23% of patients with tetralogy of Fallot (TOF). Knowledge of coronary anatomy prior to corrective surgery is vital to avoid damage to vessels crossing the right ventricular outflow tract (RVOT). A meta-analysis on the prevalence of anomalous coronary arteries in TOF ... Read more >>

Int. J. Cardiol. (International journal of cardiology)
[2020, :]

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Aberrant right coronary artery in a grown up congenital cardiac patient, successfully treated 46 years earlier with a double Starr-Edwards silastic ball valve replacement: a case report.

Andrea Ponsiglione, Gianrico Spagnuolo, Gabriella Spagnuolo, Arnaldo Stanzione, Carmela Nappi, Serena Dell'Aversana, Antonio Spagnuolo, Alberto Cuocolo, Massimo Imbriaco,

BACKGROUND:The Starr-Edwards ball valve prosthesis was successfully introduced in 1961-62 and largely used for aortic and mitral valve replacement. Even if Starr-Edwards valves have been widely replaced in clinical practice by other mechanical valves, they define a standard concerning long-term durability. CASE PRESENTATION:We describe the case of a 55-year-old man ... Read more >>

BMC Cardiovasc Disord (BMC cardiovascular disorders)
[2020, 20(1):37]

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Misdiagnosis of anomalous origin of the left coronary artery from the pulmonary artery by echocardiography: Single-center experience from China.

Shan Lin, Mingxing Xie, Qing Lv, Jing Wang, Lin He, Bin Wang, Yuman Li, Lingling Xu, Yali Yang,

OBJECTIVES:To identify the risk factors causing misdiagnosis by echocardiography and missed diagnosis of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). MATERIALS AND METHODS:Echocardiographic results of 16 patients with ALCAPA confirmed by surgery in Union Hospital, Wuhan, were analyzed retrospectively. The influencing factors leading to echocardiographic ... Read more >>

Echocardiography (Echocardiography (Mount Kisco, N.Y.))
[2020, 37(1):104-113]

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Coronary Arteriovenous Fistula

Subash Nepal, Pavan Annamaraju,

Coronary arteriovenous fistula (CAVF) is a rare form of congenital heart disease. However, it is the most common type of congenital coronary artery anomalies.[1][2].An arteriovenous fistula is an abnormal conduit between the artery and vein, typically bypassing the capillaries in between. When present between the coronary artery and cardiac chambers, it is ... Read more >>

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Coronary Computed Tomography Angiography-Derived Fractional Flow Reserve in Patients with Anomalous Origin of the Right Coronary Artery from the Left Coronary Sinus.

Chun Xiang Tang, Meng Jie Lu, Joseph Uwe Schoepf, Christian Tesche, Maximilian Bauer, John Nance, Parkwood Griffith, Guang Ming Lu, Long Jiang Zhang,

OBJECTIVE:To examine the fractional flow reserve derived from computed tomographic angiography (CT-FFR) in patients with anomalous origin of the right coronary artery from the left coronary sinus (R-ACAOS) with an interarterial course, assess the relationship of CT-FFR with the anatomical features of interarterial R-ACAOS on coronary computed tomographic angiography (CCTA), ... Read more >>

Korean J Radiol (Korean journal of radiology)
[2020, 21(2):192-202]

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Left anterior descending artery hyper dominance giving rise to the posterior descending artery: an extremely rare coronary anomaly and its clinical implications.

Muhammad Shabbir Rawala, Alex Munoz, S Tahira Shah Naqvi, Mohammad Hassan Pervaiz,

The prevalence of congenital coronary artery anomalies is approximately 1% in the general population. They are a common cause of sudden death in younger persons. The origination of the posterior descending artery (PDA) from left anterior descending (LAD) artery is an extremely rare anomaly. We present a case of a ... Read more >>

J Community Hosp Intern Med Perspect (Journal of community hospital internal medicine perspectives)
[2020, 10(1):76-80]

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N-terminal pro-brain natriuretic peptide levels in patients with anomalous left coronary artery from pulmonary artery.

Ling Yunfei, Fan Qiang, Wang Yue, Qian Yongjun,

INTRODUCTION:N-terminal pro-brain natriuretic peptide (NT-pro-BNP) is used as an important biomarker for heart failure in children and adults. Previous researches have shown the value of NT-pro-BNP in various congenital heart defects (CHD). However, the level of NT-pro-BNP in patients with anomalous left coronary artery from the pulmonary artery (ALCAPA) has ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2020, 15(1):15]

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The role of the fractional flow reserve in the coronary steal phenomenon evaluation caused by the coronary-pulmonary fistulas: case report and review of the literature.

Zhiwei Huang, Zhihong Liu, Shaodong Ye,

BACKGROUND:Congenital coronary-pulmonary fistulas (CPFs) are commonly unilateral; however, bilateral and multilateral fistulas are relatively rare. The steal phenomenon aroused from bilateral or multilateral CPFs, and was uncertain and seldom reported. We possess a new tool to assess the hemodynamic significance of coronary artery fistulas. This study aimed to describe the ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2020, 15(1):32]

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Incidental Anomalous Left Coronary Artery in a Transplanted Heart.

Sri Harsha Patlolla, Saraschandra Vallabhajosyula, Malcolm R Bell,

Anomalous coronary artery is an uncommon congenital cardiac anomaly that is often detected incidentally on coronary angiography. It has rarely been reported in the donor heart of patients who have undergone cardiac transplantation. Here, we report a case of a 72-year-old patient who received a second heart transplant and has ... Read more >>

Case Rep Cardiol (Case reports in cardiology)
[2019, 2019:2715896]

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Do patients with anomalous origin of the left coronary artery benefit from an early repair of the mitral valve?

Viktoria H M Weixler, David Zurakowski, Christopher W Baird, Alvise Guariento, Breanna Piekarski, Pedro J Del Nido, Sitaram Emani,

OBJECTIVES:The aim of this study was to determine mid-term outcomes of patients with anomalous origin of the left coronary artery from the pulmonary artery undergoing coronary repair only (group A) or simultaneous mitral valve repair (group B). METHODS:Patients with anomalous origin of the left coronary artery from the pulmonary artery ... Read more >>

Eur J Cardiothorac Surg (European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery)
[2020, 57(1):72-77]

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Prognostic value of dual-source computed tomography (DSCT) angiography characteristics in anomalous coronary artery from the opposite sinus (ACAOS) patients: a large-scale retrospective study.

Kai-Yue Diao, Qin Zhao, Yue Gao, Ke Shi, Min Ma, Hua-Yan Xu, Ying-Kun Guo, Zhi-Gang Yang,

BACKGROUND:Most reported cases of right anomalous coronary artery from the opposite sinus (R-ACAOS) have benign clinical outcomes. However, patients with left ACAOS (L-ACAOS) and some of the patients with R-ACAOS are more at risk for arrhythmias and sudden cardiac death, which remains a major concern. Here we report the prevalence ... Read more >>

BMC Cardiovasc Disord (BMC cardiovascular disorders)
[2020, 20(1):25]

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Echocardiographic Diagnosis of Anomalous Single Coronary Artery from the Pulmonary Artery: Use of Bubble Contrast Echocardiography.

Nikhil Thatte, Manouk Kirakosian, Aditya Kaza, Kevin Friedman,

Anomalous origin of a coronary artery from the pulmonary artery (PA) is a rare congenital anomaly with the most common pattern being an anomalous left coronary artery (LCA) from the pulmonary artery (ALCAPA). A very rare pattern is the anomalous origin of a single coronary artery from the pulmonary artery ... Read more >>

Pediatr Cardiol (Pediatric cardiology)
[2020, 41(1):215-216]

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Cangrelor use in a 6-year-old patient undergoing complex percutaneous coronary intervention after post-surgical myocardial infarction.

Domenico Sirico, Nuccia Morici, Francesco Soriano, Stefano Maria Marianeschi, Giovanna Pedrazzini, Sergio Leonardi, Gabriele Vignati,

Cangrelor is an intravenously administered P2Y12 receptor antagonist, which has been approved for adult patients undergoing percutaneous coronary intervention and, due to its unique pharmacokinetics, it allows effective and controllable peri-procedural platelet inhibition. We report the case of a 6-year-old child with anomalous origin of right coronary artery from aortic ... Read more >>

Platelets (Platelets)
[2020, :1-4]

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Airway anomalies in cases of anomalous pulmonary venous connection - A single-center experience.

Anuradha Kamath, Pankaj Punetha, Aditya N Doddamane, Kolli S Chalam, C S Hiremath,

Background:Patients with congenital heart defects may present with concomitant defects involving other organ systems. Roughly 4 percent of this nature are airway anomalies. Presence of anomalous airways summon major challenge before the anesthesiologist, surgeon, and intensivist in the perioperative management of such patients. There is paucity of literature in the ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(1):14-19]

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Natural Coronary Bypass: A Rare Case of Aortocoronary Fistula in a Patient with Three-Vessel Disease.

Syed Arsalan Ahmed Naqvi, Syed Danish Zaidi, Owais Gul, Mudassir Iqbal Dar, Abdul Aziz,

Coronary arterial fistula (CAF) is an abnormal connection between one or both coronary arteries and a cardiac/extra-cardiac chamber or another vessel. Aortocoronary fistula is a rare type of CAF, which involves an anomalous connection between coronary arteries and any segment of aorta. The following case report describes the case of ... Read more >>

Cureus (Cureus)
[2020, 12(2):]

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Adult ALCAPA: from histological picture to clinical features.

Hiroshi Kubota, Hidehito Endo, Hikaru Ishii, Hiroshi Tsuchiya, Yusuke Inaba, Katsunari Terakawa, Yu Takahashi, Mio Noma, Kazuya Takemoto, Seiichi Taniai, Konomi Sakata, Kyoko Soejima, Hiroaki Shimoyamada, Hiroshi Kamma, Hayato Kawakami, Yukihiro Kaneko, Satoru Hirono, Daisuke Izumi, Kazuyuki Ozaki, Tohru Minamino, Hideaki Yoshino, Kenichi Sudo,

BACKGROUND:Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary anomaly that results in high mortality if left untreated. Our aim was to extend our knowledge of the histological, angiographic, and clinical characteristics of ALCAPA in order to deepen our understanding of this rare entity. CASE ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2020, 15(1):14]

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Anomalous Left Coronary Artery From The Pulmonary Artery (ALCAPA) as a Cause of Heart Failure.

Daniel Sadoma, Christopher Valente, Adam Sigal,

BACKGROUND Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare anomaly. When present it can result in failure to thrive and congestive heart failure. CASE REPORT We present the case of a 6-month old female whose presentation was one of failure to thrive. Point of care ultrasound ... Read more >>

Am J Case Rep (The American journal of case reports)
[2019, 20:1797-1800]

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