Surgical repair for an anomalous left coronary artery from the pulmonary artery and mitral regurgitation in a symptomatic adult woman.

IF 0.7 Q3 Medicine
Yosuke Nakai, Airi Kageyama, Jiryo Haibara, Takayuki Saito, Hisao Suda
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引用次数: 0

Abstract

A 48-year-old woman, who had undergone surgery to treat a patent ductus arteriosus when she was 12 years old, was diagnosed with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) and moderate mitral regurgitation during a routine exam. She underwent ALCAPA repair with an intrapulmonary tunnel using a vascular prosthesis and mitral valve repair. She experienced significant symptom improvement and has been free of heart failure symptoms after surgery. Anomalous origin of the left coronary artery from the pulmonary artery is rare but life-threatening, necessitating surgical intervention even in asymptomatic adults. Choosing an appropriate surgical approach is important, considering the patient's age and future intervention potential.

一例有症状的成年女性左冠状动脉与肺动脉异常及二尖瓣反流的手术修复。
一名48岁的女性,12岁时接受过手术治疗动脉导管未闭,在常规检查中被诊断为左冠状动脉与肺动脉起源异常(ALCAPA)和中度二尖瓣反流。她接受了ALCAPA修复术,使用血管假体和二尖瓣修复肺内隧道。术后患者症状明显改善,无心力衰竭症状。左冠状动脉异常起源于肺动脉是罕见的,但危及生命,甚至在无症状的成年人也需要手术干预。考虑到患者的年龄和未来的干预潜力,选择合适的手术方法是很重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.30
自引率
0.00%
发文量
78
期刊介绍: The Asian Cardiovascular and Thoracic Annals is an international peer-reviewed journal pertaining to cardiovascular and thoracic medicine. Besides original clinical manuscripts, we welcome research reports, product reviews, reports of new techniques, and findings of special significance to Asia and the Pacific Rim. Case studies that have significant novel original observations, are instructive, include adequate methodological details and provide conclusions. Workshop proceedings, meetings and book reviews, letters to the editor, and meeting announcements are encouraged along with relevant articles from authors.
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