M Kamisago, S Ogawa, Y Hino, O Jimbo, Y Nagai, R Hayashi, T Seki, T Ohkubo, J Zhang, H Yamauchi, J Ninomiya, M Yamamoto
{"title":"Successful treatment of anomalous origin of the left coronary artery from the pulmonary artery in a 5-week-old male infant.","authors":"M Kamisago, S Ogawa, Y Hino, O Jimbo, Y Nagai, R Hayashi, T Seki, T Ohkubo, J Zhang, H Yamauchi, J Ninomiya, M Yamamoto","doi":"10.1272/jnms1923.65.312","DOIUrl":null,"url":null,"abstract":"<p><p>A 5-week-old male infant who was referred to our hospital because of tachypnea and poor feeding. An electrocardiogram showed a deep Q wave in lead aVL, negative T waves in leads I, II, III, aVF and V6 and a positive T wave in VL. Echocardiography revealed severely impaired left ventricular function. Aortography confirmed with a diagnosis of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). Takeuchi's procedure was performed and the patient maintained postoperatively on assisted circulation for 7 hours even though sternal closure delayed until 7 days post operatively. His left ventricular function showed and marked improvement gradually.</p>","PeriodicalId":19192,"journal":{"name":"Nihon Ika Daigaku zasshi","volume":"65 4","pages":"312-5"},"PeriodicalIF":0.0000,"publicationDate":"1998-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nihon Ika Daigaku zasshi","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1272/jnms1923.65.312","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
Abstract
A 5-week-old male infant who was referred to our hospital because of tachypnea and poor feeding. An electrocardiogram showed a deep Q wave in lead aVL, negative T waves in leads I, II, III, aVF and V6 and a positive T wave in VL. Echocardiography revealed severely impaired left ventricular function. Aortography confirmed with a diagnosis of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). Takeuchi's procedure was performed and the patient maintained postoperatively on assisted circulation for 7 hours even though sternal closure delayed until 7 days post operatively. His left ventricular function showed and marked improvement gradually.