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Surgical Approach to 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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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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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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Unusual association of transposition of great arteries with infradiaphragmatic pulmonary venous return.

Giuseppe Scrascia, Anna Maria Pia Grimaldi, Dario Troise, Gabriele Scalzo,

A 21-day-old baby with transposition of the great arteries with intact ventricular septum, infradiaphragmatic totally anomalous pulmonary venous connection, and atrial septum defect underwent combined arterial switch operation, totally anomalous venous connection repair, and atrial septum defect closure, using a right-sided approach and temporary pulmonary veins occlusion, with no postoperative ... Read more >>

Ann Pediatr Cardiol (Annals of pediatric cardiology)
[2020, 13(1):75-77]

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The Rare Association of Tetralogy of Fallot and ALCAPA.

Alexandre Noboru Murakami, Gabriela Guimarães Baston, Mariana Ribeiro Rodero Cardoso, Carlos Henrique de Marchi, Ulisses Alexandre Croti,

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2019, 34(5):624-626]

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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):e7023]

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Long-Term Assessment of Left Ventricular Ejection Fraction and Mitral Regurgitation Following Takeuchi Repair.

Gökmen Akkaya, Çağatay Bilen, Osman Nuri Tuncer, Mehmet Fatih Ayık, Yüksel Atay,

OBJECTIVE:This study aimed to evaluate the early operative outcomes and to compare the left ventricle and mitral valve functions after initial Takeuchi repair in patients with anomalous left coronary arising from pulmonary artery (ALCAPA). METHODS:Fourteen patients (5 males, 9 females; mean age 4.3 years, ranging from 25 days to 34 ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, 34(6):687-693]

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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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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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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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Prevalence and management of coronary artery anomalies in tetralogy of Fallot at Cheikh Zaid Hospital's Pediatric Cardiac Surgery Department in Morocco: retrospective study.

Mohamed Rida Ajaja, Amine Cheikh, Hicham Rhazali, Mustapha Bouatia, Anas Slaoui, Redouane Abouqal, Amine El Hassani, Younes Cheikhaoui,

Introduction:Tetralogy of Fallot (TOF) is one of the most common cyanogenic congenital heart defects. It represents 10% of congenital heart diseases in children. Coronary artery anomalies (CAA) have been reported in 2% to 14% of cases in patients with TOF, according to angiographic, surgical and autopsy series. Many of these ... Read more >>

Pan Afr Med J (The Pan African medical journal)
[2019, 34:157]

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Oblique coronary artery prolongation in anomalous left coronary artery arising from the pulmonary artery: A case series.

Charles D Nicolais, Taylor S Wheaton, Cesar Igor Mesia, Randy M Stevens, Achintya Moulick,

BACKGROUND:Anomalous left coronary artery (LMCA) arising from the pulmonary artery (ALCAPA) is a life-threatening congenital birth defect. Prompt surgical correction by reimplantation of the LMCA into the aorta is the treatment of choice, however, unfavorable LCA location or length can make direct reimplantation difficult or even impossible without causing significant ... Read more >>

J Card Surg (Journal of cardiac surgery)
[2019, 34(12):1434-1438]

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Effectiveness of Bidirectional Glenn Shunt Placement for Palliation in Complex Congenitally Corrected Transposed Great Arteries.

Kai Ma, Lei Qi, Zhongdong Hua, Keming Yang, Hao Zhang, Shoujun Li, Sen Zhang, Fengpu He, Guanxi Wang,

Surgery for complex congenitally corrected transposed great arteries is one of the greatest challenges in cardiovascular surgery. We report our experience with bidirectional Glenn shunt placement as a palliative procedure for complex congenitally corrected transposition. We retrospectively identified 50 consecutive patients who had been diagnosed with congenitally corrected transposition accompanied ... Read more >>

Tex Heart Inst J (Texas Heart Institute journal)
[2020, 47(1):15-22]

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Malignant Course of the Right Coronary Artery Originating from the Left Main Coronary Artery: An Odd Exit.

Mohammed Al-Sadawi, Bader Madoukh, Ayman Battisha, Shakil Shaikh, Pramod Theetha Kariyanna, Jonathan Marmur, Tarek S Abdellateef, Gil Hevroni, Samy I McFarlane,

Introduction:Congenital coronary artery anomalies are quite uncommon with estimates ranging from 0.2% to 1.3% on coronary angiography. The rarity of these anomalies makes their diagnosis a formidable challenge. Variable arterial courses have been described. In this report, we present a case with unique arterial course, which starts as a hyperacute ... Read more >>

Am J Med Case Rep (American journal of medical case reports)
[2019, 7(12):311-316]

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Enhanced recovery and early extubation after pediatric cardiac surgery using single-dose intravenous methadone.

John P Iguidbashian, Peter H Chang, John Iguidbashian, Jason Lines, Bryan G Maxwell,

Background/Aims:Methadone may offer advantages in facilitating early extubation after cardiac surgery, but very few data are available in the pediatric population. Setting/Design:Community tertiary children's hospital, retrospective case series. Materials and Methods:We performed a retrospective analysis of all pediatric cardiac surgical patients for whom early extubation was intended. A multimodal analgesic ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(1):70-74]

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A Case of Anomalous Origin of the Right Coronary Artery from the Left Sinus of Valsalva with a Malignant Course.

Amol Gupta, Vinod Kumar, Ravi Gupta, Samir Samarany,

Congenital heart disease in adults, including congenital anomalies of the coronary arteries, can be asymptomatic and diagnosed incidentally, but they can also be a cause of sudden cardiac death. The recent guidelines on the management of adults with congenital heart disease from the American Heart Association (AHA) and the American ... Read more >>

Cureus (Cureus)
[2019, 11(9):e5794]

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Sinus Venosus Atrial Septal Defect: A Challenging Diagnosis.

Ziga Vodusek, Shehryar Khaliqdina, Carolina Borz-Baba, Rebecca Scandrett,

Sinus venosus atrial septal defect (SVASD) is a rare adult congenital heart disease which permits shunting of blood from the systemic to the pulmonary circulation and is commonly associated with anomalous pulmonary venous return. We report a case of a 27-year-old man with a history of premature birth and unilateral ... Read more >>

Cureus (Cureus)
[2019, 11(10):e5936]

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Outcomes of cardiac surgery after mediastinal radiation therapy: A single-center experience.

Onur B Dolmaci, Emile S Farag, S Matthijs Boekholdt, Wim J P van Boven, Abdullah Kaya,

BACKGROUND:Mediastinal radiation therapy (MRT) is a widely used therapy for thoracic malignancies. This therapy has the potential to cause cardiovascular injuries, which may require surgery. The primary aim of this study is to identify the perioperative outcomes of cardiac surgery in patients with a history of MRT. Second, potential predictors ... Read more >>

J Card Surg (Journal of cardiac surgery)
[2020, 35(3):612-619]

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123I-BMIPP/201Tl dual myocardial SPECT proves the efficacy of surgical treatment for an adult with Bland-White-Garland syndrome.

Naoko Yuzawa-Tsukada, Yusuke Kashiwagi, Keisuke Fukushima, Keisuke Shirasaki, Yoshitsugu Oki, Takahito Kamba, Takeyuki Kubota, Satoru Miyanaga, Koichi Muramatsu, Noriyasu Kawada, Hirokuni Naganuma, Kimiaki Komukai, Michihiro Yoshimura,

Bland-White-Garland (BWG) syndrome is a rare congenital heart disease in which the left coronary artery originates from the pulmonary artery (PA). Surgical treatment to rebuild a dual coronary system is recommended at the time of the diagnosis. However, no effective operative procedure has been established for adult-type BWG patients because ... Read more >>

J Cardiol Cases (Journal of cardiology cases)
[2020, 21(1):39-42]

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Konno-Rastan Combined with Manougiaun Root Enlargement for Small Aortic Root with Coronary Anomaly in a Young Woman.

Fazal Wahab Khan, Sameh M Said,

Aortic root enlargement (ARE) is an established procedure to deal with small aortic annulus. It becomes very important to place adequate size prosthesis to prevent patient-prosthesis mismatch (PPM). Aortic root enlargement procedures procedures are technically demanding operations, particularly in obese patients. The presence of coronary artery anomalies adds more complexity ... Read more >>

Heart Views (Heart views : the official journal of the Gulf Heart Association)
[2019, 20(4):172-174]

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First report of successfully palliating a hypoplastic left heart syndrome patient with anomalous left coronary artery from the pulmonary artery beyond Fontan.

Kyle W Riggs, Nina M Price, Nicholas Szugye, Bryan H Goldstein, David L S Morales,

We report a case of hypoplastic left heart syndrome with an anomalous left coronary artery from the pulmonary artery (ALCAPA) identified intraoperatively during the Stage-II palliation. Due to recurring ventricular fibrillation on sternotomy, a hybrid Stage-I palliation was performed. During comprehensive Stage-II, the ALCAPA was reimplanted in the neoaorta and ... Read more >>

Ann Pediatr Cardiol (Annals of pediatric cardiology)
[2019, 12(3):318-320]

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Utility of three-dimensional printing in preoperative planning for children with anomalous pulmonary venous connection: a single center experience.

Jiajun Xu, Yangfan Tian, Jun Yin, Jinhua Wang, Weize Xu, Zhuo Shi, Jianzhong Fu, Qiang Shu,

Background:This study sought to assess the application of three-dimensional (3D) printing in preoperative planning for anomalous pulmonary venous connection (APVC). Methods:From November 2017 to January 2019, 17 children diagnosed with APVC were enrolled in this study (total APVC supracardiac type in 10 children, intracardiac type in 2 children, infracardiac type ... Read more >>

Quant Imaging Med Surg (Quantitative imaging in medicine and surgery)
[2019, 9(11):1804-1814]

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Ridges and Pouches: A Case Series of Anomalous Atrial Septal Fusion.

David Zisa, Francesco F Faletra, Benjamin S Wessler, Neil J Halin, Pranitha Reddy, Ayan R Patel, Natesa G Pandian,

CASE (Phila) (CASE (Philadelphia, Pa.))
[2020, 4(1):7-17]

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Tetralogy of Fallot: morphological variations and implications for surgical repair.

Saad M Khan, Nigel E Drury, John Stickley, David J Barron, William J Brawn, Timothy J Jones, Robert H Anderson, Adrian Crucean,

OBJECTIVES:Tetralogy of Fallot is characterized by anterocephalad deviation of the outlet septum, along with abnormal septoparietal trabeculations, which lead to subpulmonary infundibular stenosis. Archives of retained hearts are an important resource for improving our understanding of congenital heart defects and their morphological variability. This study aims to define variations in ... Read more >>

Eur J Cardiothorac Surg (European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery)
[2019, 56(1):101-109]

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EDUCATIONAL SERIES IN CONGENITAL HEART DISEASE: Cardiovascular MRI and CT in congenital heart disease.

Kuberan Pushparajah, Phuoc Duong, Sujeev Mathur, Sonya Babu-Narayan,

Cardiovascular MRI and CT are useful imaging modalities complimentary to echocardiography. This review article describes the common indications and consideration for the use of MRI and CT in the management of congenital heart disease. ... Read more >>

Echo Res Pract (Echo research and practice)
[2019, :]

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