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":"成功治疗1例5周大男婴左冠状动脉起源于肺动脉的异常。","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":"{\"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}","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}
Successful treatment of anomalous origin of the left coronary artery from the pulmonary artery in a 5-week-old male infant.
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.
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