Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-27T08:32:26.755Z Has data issue: false hasContentIssue false

Transcatheter occlusion of an anomalous origin of left coronary artery from pulmonary artery in an adult as an alternative to surgery

Published online by Cambridge University Press:  19 October 2020

Pramod Sagar
Affiliation:
Department of Cardiology, Madras Medical Mission, Chennai, India
Kothandam Sivakumar*
Affiliation:
Department of Cardiology, Madras Medical Mission, Chennai, India
*
Author for correspondence: Dr K. Sivakumar, MD DM, Head of Department of Paediatric Cardiology, Madras Medical Mission, 4A, Dr J J Nagar, Mogappair, Chennai600037, India. Tel: +91 9444449966; Fax +91 4426565859. E-mail drkumarsiva@hotmail.com

Abstract

Anomalous origin of the left coronary artery from the pulmonary artery causes heart failure and death in infancy. In rare adult survivors with well-developed collaterals, surgical left coronary ligation to arrest steal is often combined with bypass grafting. Transcatheter left coronary artery closure in a symptomatic adult as an alternative to surgical ligation resulted in complete resolution of inducible ischaemia on myocardial perfusion imaging.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Yau, JM, Singh, R, Halpern, EJ, Fischman, D. Anomalous origin of the left coronary artery from the pulmonary artery in adults: a comprehensive review of 151 adult cases and a new diagnosis in a 53-year-old woman. Clin Cardiol 2011; 34: 204210.CrossRefGoogle Scholar
Alexi-Meskishvili, V, Berger, F, Weng, Y, Lange, PE, Hetzer, R. Anomalous origin of the left coronary artery from the pulmonary artery in adults. J Card Surg 1995; 10: 309315.10.1111/j.1540-8191.1995.tb00617.xCrossRefGoogle ScholarPubMed
Wilson, CL, Dlabal, PW, McGuire, SA. Surgical treatment of anomalous left coronary artery from pulmonary artery: follow-up in teenagers and adults. Am Heart J 1979; 98: 440446.Google ScholarPubMed
Kreutzer, C, Schlichter, AJ, Roman, MI, Kreutzer, GO. Emergency ligation of anomalous left coronary artery arising from the pulmonary artery. Ann Thorac Surg 2000; 69: 15911592.CrossRefGoogle ScholarPubMed
Kubota, H, Endo, H, Ishii, H, et al. Adult ALCAPA: from histological picture to clinical features. J Cardiothorac Surg 2020; 15: 14.CrossRefGoogle ScholarPubMed
Collins, N, Colman, J, Benson, L, Hansen, M, Merchant, N, Horlick, E. Successful percutaneous treatment of anomalous left coronary artery from pulmonary artery. Int J Cardiol 2007; 122: e29e31.Google ScholarPubMed

Sagar and Sivakumar supplementary material

Sagar and Sivakumar supplementary material

Download Sagar and Sivakumar supplementary material(Video)
Video 6.8 MB