RESUMEN
We present a patient with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), which was diagnosed and corrected in her 60 s. The patient is the oldest documented survivor of ALCAPA who underwent a surgical repair. ALCAPA should be corrected surgically to restore the dual coronary system at any age and this case shows that the surgical procedure may be performed safely even in an elderly patient.
Asunto(s)
Anciano , Femenino , Humanos , Vasos Coronarios , Arteria Pulmonar , SobrevivientesRESUMEN
A right coronary artery to left ventricular fistula with a giant right coronary artery aneurysm is a very rare condition. This requires surgical treatment because of the possibility of rupture of aneurysm, heart failure and infective endocarditis. A 47 years old male patient with dyspnea on exertion for 3 months was diagnosed as having a right coronary artery to left ventricular fistula with a giant right coronary artery aneurysm according to the CT and coronary artery angiography. We resected the aneurysm and performed a coronary artery bypass graft.
Asunto(s)
Humanos , Masculino , Aneurisma , Angiografía , Puente de Arteria Coronaria , Vasos Coronarios , Disnea , Endocarditis , Fístula , Aneurisma Cardíaco , Rotura , TrasplantesRESUMEN
An adequate location of the reimplanted coronary arteries is one of the most important prognostic factors for an arterial switch operation for treating TGA (transposition of great arteries). We report here on a case of malposition of the reimplanted coronary artery in a 14-year-old boy who had undergone an arterial switch operation. He had chest pain and dyspnea on exertion. The imaging study showed that the ostium of the left main coronary artery, which was between the neo-pulmonary artery and the neo-aorta, was compressed by the great arteries. We excised the left main coronary artery with a button incision from the aorta and reimplanted it on the left lateral side of the aorta. The patency of the left main coronary artery os after the operation was good and it was not compressed by the surrounding arteries.
Asunto(s)
Adolescente , Humanos , Aorta , Arterias , Dolor en el Pecho , Vasos Coronarios , Disnea , Transposición de los Grandes VasosRESUMEN
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) has rarely been reported on in adults because 90% of the untreated infants die in the first year of life. We report here on a case of ALCAPA that was detected in a 41-year-old woman and she was successfully treated by direct re-implantation of the anomalous coronary artery into the aorta.
Asunto(s)
Adulto , Femenino , Humanos , Lactante , Aorta , Síndrome de Bland White Garland , Anomalías de los Vasos Coronarios , Vasos Coronarios , Insuficiencia de la Válvula Mitral , Arteria PulmonarRESUMEN
Occlusion of a coronary artery ostium and especially occlusion of the right by an aortic cusp is a rare condition. We experienced an adult patient with occlusion of the right coronary ostium that was due to fusion of the right coronary cusp to the aortic wall along with underlying rheumatic aortic valve stenosis. During the operation, the adherent right coronary cusp was excised. After confirming that the right coronary ostium was patent, the other cusps were removed, and this followed by replacement of the aortic valve with a mechanical valve. The postoperative course was uneventful.
Asunto(s)
Adulto , Humanos , Estenosis de la Válvula Aórtica , Válvula Aórtica , Vasos CoronariosRESUMEN
Most myocardial bridgings are found incidentally without symptoms, but myocardial bridging may induce symptoms such as angina, myocardial infarction, and ventricular arrythmia. In a patient who has symptoms despite of proper medication, stent insertion, supra-arterial myotomy or coronary artery bypass grafting have been applied without a definite guideline of treatment. We report two surgical cases of myocardial bridging with a review of the literature.
Asunto(s)
Humanos , Arritmias Cardíacas , Puente de Arteria Coronaria , Puente Miocárdico , Infarto del Miocardio , StentsRESUMEN
Proximal coronary artery stenosis after direct coronary artery ostial perfusion is an infrequent but life-threatening complication. We had been experienced 3 cases of proximal coronary artery stenosis related to direct ostial perfusion since September, 2000. And now we report the cases.