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J Thorac Cardiovasc Surg 2005;130:897-899
© 2005 The American Association for Thoracic Surgery

Brief Communication

Partial left ventriculectomy for infantile ischemic cardiomyopathy caused by anomalous origin of the left coronary artery from the pulmonary artery

Masaaki Yamagishi, MD, PhD a , * , Keisuke Shuntoh, MD a , Takeshi Shinkawa, MD a , Takahiro Hisaoka, MD a , Mitsugu Ogawa, MD a , Keitarou Kohshi, MD a , Hitoshi Yaku, MD, PhD a , You Kajiyama, MD b , Kenji Hamaoka, MD, PhD b

a Department of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan
b Department of Pediatrics Children's Research Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan

Received for publication March 21, 2005; accepted for publication April 1, 2005.

* Address for reprints: Masaaki Yamagishi, MD, PhD, Department of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi, Hirokoji, Kamikyo-ku, Kyoto, 602-8566 Japan (Email: myama@koto.kpu-m.ac.jp).

The first 20% of the full text of this article appears below.


Figure 1
Dr Yamagishi


Broad ischemia of the left ventricle and subsequent severe ventricular failure are unavoidable in infants with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). Here we report the first case of successful partial left ventriculectomy in a 3-month-old infant with severe ischemic cardiomyopathy caused by ALCAPA and vanishingly scarce collateral vessels.

Clinical Summary

A 3-month-old female infant weighing 5300 g with congestive heart failure was referred to our hospital. Abnormal Q waves were detected in leads I and aVL and precordial leads V4 through V6 on electrocardiography. Echocardiography demonstrated marked left ventricular (LV) dilatation with significant reduction in ventricular wall thickness (Figure 1, left). The LV end-diastolic diameter was 48 mm. Wall motion showed marked diffuse deterioration. Shortening fraction was reduced to 7%. Posterolateral wall thickness faded to 2 mm. The papillary muscles and endocardium showed markedly increased echogenicity. Severe mitral regurgitation was also observed. The left coronary artery originated . . . [Full Text of this Article]




This article has been cited by other articles:


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 J. Thorac. Cardiovasc. Surg.Home page
S. Westaby, N. Archer, and S. G. Myerson
Long-term cardiac remodeling after salvage partial left ventriculectomy in an infant with anomalous left coronary artery from the pulmonary artery.
J. Thorac. Cardiovasc. Surg., March 1, 2009; 137(3): 757 - 759.
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