HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Yasuharu Imai Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Isomatsu, Y. Articles by Iwata, Y. Search for Related Content PubMed PubMed Citation Articles by Isomatsu, Y. Articles by Iwata, Y. Related Collections Cardiac - other Congenital - acyanotic

J Thorac Cardiovasc Surg 2001;121:792-797
© 2001 The American Association for Thoracic Surgery

Surgery for Congenital Heart Disease

Surgical intervention for anomalous origin of the left coronary artery from the pulmonary artery: The Tokyo experience

From the Department of Pediatric Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan.

Received for publication Aug 15, 2000. Revisions requested Sept 21, 2000; revisions received Oct 30, 2000. Accepted for publication Nov 6, 2000. Address for reprints: Yukihisa Isomatsu, MD, Department of Pediatric Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, 8-1 Kawadacho, Shinjuku-ku, Tokyo 162-8666, Japan.

Abstract

Background: Few studies after surgical repair of the anomalous origin of the left coronary artery have reported the importance of the mitral annuloplasty or the long-term results.
Methods: Between January 1982 and March 2000, 29 patients with anomalous origin underwent surgical intervention at our institution (direct aortic reimplantation in 19 and Takeuchi procedure in 10). Age at the time of operation ranged from 2 months to 24 years (median, 29.3 months), and 9 patients were infants. Twenty-four patients had varying degrees of mitral incompetence. Simultaneous mitral annuloplasty at the anterolateral commissure was performed in all 24 patients with incompetence.
Results: There were 2 hospital deaths among the infants, and no late deaths. Mean follow-up was 100 ± 57 months, and the actuarial survival was 93.1% at 10 years (70% confidence limits, 87-99). Cardiothoracic ratio at discharge was not decreasing significantly (P = .35); however, this value 5 years after the operation showed the significant decrease (P = .003) versus preoperative value. Preoperative mitral incompetence decreased in all but one of the operative survivors with mitral annuloplasty at the last follow-up. The left ventricular fractional shortening z-score was not normalized at discharge but was normalized in the late period.
Conclusion: These data demonstrate that impaired left ventricular function normalized in the long term (even if it was below normal immediately after operation) after 2-coronary repair. We recommend that the simultaneous mitral annuloplasty should be performed at the time of operation for patients who have mitral incompetence with anomalous origin of the left coronary artery.

This article has been cited by other articles:

				W. Ben Ali, O. Metton, F. Roubertie, P. Pouard, D. Sidi, O. Raisky, and P. R. Vouhe Anomalous origin of the left coronary artery from the pulmonary artery: late results with special attention to the mitral valve Eur. J. Cardiothorac. Surg., August 1, 2009; 36(2): 244 - 249. [Abstract] [Full Text] [PDF]

				L. S. Canale, A. J.O. Monteiro, I. Rangel, E. Wetzel, D. F. Pinto, R. C. Barbosa, M. A. Meier, and M. L.B. Marcial Surgical treatment of anomalous coronary artery arising from the pulmonary artery Interactive CardioVascular and Thoracic Surgery, January 1, 2009; 8(1): 67 - 69. [Abstract] [Full Text] [PDF]

				J. W. Brown, M. Ruzmetov, J. J. Parent, M. D. Rodefeld, and M. W. Turrentine Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin of the left coronary artery from the pulmonary artery? J. Thorac. Cardiovasc. Surg., September 1, 2008; 136(3): 743 - 748. [Abstract] [Full Text] [PDF]

				B. Alsoufi, A. Sallehuddin, Z. Bulbul, M. Joufan, F. Khouqeer, C. C. Canver, A. Kalloghlian, and Z. Al-Halees Surgical Strategy to Establish a Dual-Coronary System for the Management of Anomalous Left Coronary Artery Origin From the Pulmonary Artery Ann. Thorac. Surg., July 1, 2008; 86(1): 170 - 176. [Abstract] [Full Text] [PDF]

				O. Raisky, F. Roubertie, W. B. Ali, and P. R. Vouhe Anomalous origin of the left coronary artery from the pulmonary artery: surgical treatment MMCTS, May 23, 2008; 2008(0523): 3285. [Abstract] [Full Text] [PDF]

				Q. Wu and Z. Xu An Alternative Procedure for Correction of Anomalous Origin of Left Coronary Artery From the Pulmonary Artery Ann. Thorac. Surg., December 1, 2007; 84(6): 2132 - 2133. [Abstract] [Full Text] [PDF]

				J. Caspi, T. W. Pettitt, C. Sperrazza, T. Mulder, and A. Stopa Reimplantation of Anomalous Left Coronary Artery From the Pulmonary Artery Without Mitral Valve Repair Ann. Thorac. Surg., August 1, 2007; 84(2): 619 - 623. [Abstract] [Full Text] [PDF]

				H.-W. Guo, J.-P. Xu, Y.-H. Song, X.-D. Shen, S.-J. Li, and S.-S. Hu Repair of Anomalous Origin of Left Coronary Artery from the Pulmonary Artery Asian Cardiovasc Thorac Ann, June 1, 2007; 15(3): 240 - 242. [Abstract] [Full Text] [PDF]

				R. Lange, M. Vogt, J. Horer, J. Cleuziou, A. Menzel, K. Holper, J. Hess, and C. Schreiber Long-Term Results of Repair of Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery Ann. Thorac. Surg., April 1, 2007; 83(4): 1463 - 1471. [Abstract] [Full Text] [PDF]

				G. Michielon, D. Di Carlo, G. Brancaccio, P. Guccione, E. Mazzera, A. Toscano, and R. M. Di Donato Anomalous coronary artery origin from the pulmonary artery: correlation between surgical timing and left ventricular function recovery Ann. Thorac. Surg., August 1, 2003; 76(2): 581 - 588. [Abstract] [Full Text] [PDF]

				C. Schreiber and R. Lange Creation of a dual-coronary system for anomalous origin of the left coronary artery from the pulmonary artery utilizing the trapdoor flap technique Eur. J. Cardiothorac. Surg., May 1, 2003; 23(5): 851 - 852. [Full Text] [PDF]

				A. Dodge-Khatami, C. Mavroudis, and C. L. Backer Anomalous origin of the left coronary artery from the pulmonary artery: collective review of surgical therapy Ann. Thorac. Surg., September 1, 2002; 74(3): 946 - 955. [Abstract] [Full Text] [PDF]

				Y. Isomatsu, Y. Imai, and T. Shin'oka Reply J. Thorac. Cardiovasc. Surg., September 1, 2001; 122(3): 636 - 636. [Full Text] [PDF]

				V. Alexi-Meskishvili and R. Hetzer Surgical intervention for anomalous origin of the left coronary artery from the pulmonary artery J. Thorac. Cardiovasc. Surg., September 1, 2001; 122(3): 635 - 636. [Full Text] [PDF]