The Annals of thoracic surgery · 2007
Anomalous coronary artery from the wrong sinus of Valsalva: a physiologic repair strategy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Alphonso Nelson, Anagnostopoulos Petros V, Nölke Lars, Moon-Grady Anita, Azakie Anthony, Raff Gary W, Karl Tom R
Аннотация
BACKGROUND: A coronary artery arising from the wrong aortic sinus, with or without a proximal course between the aorta and the pulmonary artery, may predispose to myocardial ischemia, myocardial infarction, or sudden death.
METHODS: We repaired this lesion in 5 symptomatic patients, all of whom had experienced exercise-related chest pain, dyspnea, or syncopal episodes. All patients underwent patch angioplasty of the proximal anomalous coronary artery with glutaraldehyde-treated autologous pericardium. When the coronary artery coursed between the aorta and the main pulmonary artery, the main pulmonary artery was translocated toward the left pulmonary artery to create additional space and prevent compression.
RESULTS: All patients recovered well and to date have demonstrated no evidence of recurrent myocardial ischemia.
CONCLUSIONS: The combination of coronary artery angioplasty and translocation of the pulmonary artery seems to effectively address all the mechanisms that can generate ischemia.
METHODS: We repaired this lesion in 5 symptomatic patients, all of whom had experienced exercise-related chest pain, dyspnea, or syncopal episodes. All patients underwent patch angioplasty of the proximal anomalous coronary artery with glutaraldehyde-treated autologous pericardium. When the coronary artery coursed between the aorta and the main pulmonary artery, the main pulmonary artery was translocated toward the left pulmonary artery to create additional space and prevent compression.
RESULTS: All patients recovered well and to date have demonstrated no evidence of recurrent myocardial ischemia.
CONCLUSIONS: The combination of coronary artery angioplasty and translocation of the pulmonary artery seems to effectively address all the mechanisms that can generate ischemia.
Предметные рубрики MeSH
AdolescentAnastomosis, SurgicalCardiac CatheterizationCardiac Surgical ProceduresChildCoronary AngiographyCoronary Vessel AnomaliesEchocardiography, DopplerFemaleFollow-Up StudiesHeart-Assist DevicesHumansMaleRisk AssessmentSampling StudiesSinus of ValsalvaTreatment OutcomeVascular Surgical Procedures