Repair of Anomalous Left Coronary Artery From the Right Pulmonary Artery: A Series of Nine Cases

Clement D. Marshall, Justin Weigand, Peter Sambatakos, Denise A. Hayes, Jonathan M. Chen, Jan M. Quaegebeur, Emile Bacha, Marc E. Richmond

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

BACKGROUND: Repair of anomalous left coronary artery from the right pulmonary artery presents a particular technical challenge to the congenital cardiac surgeon. There is disagreement in the literature over the optimal technique for this defect, with some authors advocating for unroofing of the periaortic segment of coronary artery, while others prefer direct aortic reimplantation of the artery.

METHODS: We performed a retrospective study examining outcomes of patients who were repaired for this anomaly at our institution. In-hospital and outpatient follow-up data were analyzed.

RESULTS: Nine patients were identified. Most patients had poor left ventricular function at the time of surgery. All patients in our series were repaired using the direct coronary transfer technique. To date there were no mortalities among the study participants. At last follow-up, all patients with available echocardiograms had normal ventricular function. One patient required reoperation for anastomotic stenosis.

CONCLUSIONS: We demonstrate that using the technique of direct coronary transfer to the aorta, we have achieved excellent results with repair of this defect.

Original languageEnglish (US)
Pages (from-to)382-386
Number of pages5
JournalWorld journal for pediatric & congenital heart surgery
Volume6
Issue number3
DOIs
StatePublished - Jul 1 2015
Externally publishedYes

Keywords

  • congenital heart disease
  • coronary artery anomaly
  • heart failure
  • myocardial infarction

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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