Reconstruction of left main coronary artery with subclavian artery free graft in an infant

Guerrero, Rafael R.; Wilkinson, James L.; Brizard, Christian P.
May 2005
European Journal of Cardio-Thoracic Surgery;May2005, Vol. 27 Issue 5, p927
Academic Journal
Abstract: We report the case of a 3-month-old infant with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) with absent left main coronary artery (LMCA). She underwent repair by reimplantation technique with the construction of a short LMCA using two opposite flaps. Two months later she was re-admitted in cardiac failure. Occlusion of the reconstructed LMCA was found by angiogram. At reoperation the right subclavian artery was used as a free interposition graft to reconstruct the LMCA. The post-operative course was uneventful. At 8 months she was asymptomatic and LMCA patency was demonstrated by angiogram.


Related Articles

  • Progress in cardiovascular anastomoses: will the vascular join replace Carrel's technique? Tozzi, Piergiorgio; Borghi, Enzo; Haesler, Eric; Siniscalchi, Giuseppe; Motti, Alessandro; Hayoz, Daniel; von Segesser, Ludwig K. // European Journal of Cardio-Thoracic Surgery;Sep2006, Vol. 30 Issue 3, p425 

    Abstract: Background: Vascular reconstructions are becoming challenging due to the comorbidity of the aging population and since the introduction of minimally invasive approaches. Many sutureless anastomosis devices have been designed to facilitate the cardiovascular surgeon''s work and the...

  • Critical Appraisal of Cardiac Risk Stratification Before Elective Vascular Surgery. Back, Martin R.; Schmacht, Dale C.; Bowser, Andrew N.; Stordahl, Norma; Cuthbertson, David; Johnson, Brad L.; Bandyk, Dennis F. // Vascular & Endovascular Surgery;Nov/Dec2003, Vol. 37 Issue 6, p387 

    This study was undertaken to evaluate the efficacy of the cardiac risk stratification protocol proposed by the American College of Cardiology/American Heart Association (ACC/AHA) in predicting cardiac morbidity and mortality associated with elective, major arterial surgery. Cardiac risk...

  • Assessment of myocardial viability using F-18 fluorodeoxyglucose/Tc-99m sestamibi dual-isotope simultaneous acquisition SPECT: Comparison with Tl-201 stress-reinjection SPECT Wu, Yen-Wen; Huang, Por-Jau; Lee, Chii-Ming; Ho, Yi-Lwun; Lin, Lung-Chun; Wang, Tzung-Dau; Wang, Shoei-Shen; Chen, Tony Hsiu-Hsi; Yen, Ruoh-Fang // Journal of Nuclear Cardiology;Jul2005, Vol. 12 Issue 4, p451 

    Background: This study compared technetium 99m sestamibi/fluorine 18 fluorodeoxyglucose dual-isotope simultaneous acquisition (DISA) with stress-reinjection thallium 201 single photon emission computed tomography (SPECT) with regard to their ability to detect myocardial...

  • ANOMALOUS ORIGIN OF A SINGLE CORONARY ARTERY FROM THE INNOMINATE ARTERY. Davis, Joyce S.; Lie, J. T. // Angiology;Nov1977, Vol. 28 Issue 11, p775 

    This is the third reported case of the origin of a single coronary artery arising from the innominate artery (brachiocephalic trunk). Associated cardiovascular malformations were truncus arteriosus and a single ventricle. The term infant died 12 hours after birth. Heart failure, evidenced by...

  • First clinical results with a 30° end-to-side coronary anastomosis coupler. Boening, Andreas; Schoeneich, Felix; Lichtenberg, Arthur; Bagaev, Eric; Cremer, Jochen T.; Klima, Uwe // European Journal of Cardio-Thoracic Surgery;May2005, Vol. 27 Issue 5, p876 

    Abstract: Objective: The purpose of this study is to evaluate the safety and efficacy of a novel 30° end-to-side coronary anastomotic coupler (Converge Medical, Inc., Sunnyvale, CA) that facilitates a non-penetrating, sutureless vein graft to coronary artery anastomosis. Material and methods:...

  • Left ventricular aneurysms: early and long-term results of two types of repair Antunes, Pedro E.; Silva, Renato; Ferrão de Oliveira, J.; Antunes, Manuel J. // European Journal of Cardio-Thoracic Surgery;Feb2005, Vol. 27 Issue 2, p210 

    Abstract: Objective: Controversy still exists regarding the optimal surgical technique for postinfarction left ventricular (LV) aneurysm repair. We analyze the efficacy of two established techniques, linear vs. patch remodeling, for repair of dyskinetic LV aneurysms. Methods: Between May 1988...

  • Cardiac Reoperation in a patient who previously underwent omentoplasty for postoperative mediastinitis: a case report. Bilal, Mehmet S.; Gürer, Onur; Kırbaş, Ahmet; Yıldız, Yahya; Çelebi, Ahmet // Journal of Cardiothoracic Surgery;2011, Vol. 6 Issue 1, p35 

    Sternal infection has become a rare but challenging problem with significant mortality and morbidity rates since the introduction of sternotomy. Reported rates of mediastinal and sternal infection range from 0.4% to 5%. The ideal reconstruction after sternal debridement is still controversial....

  • The clinical utility of the Kopitnik arteriovenous malformation microclip during STA-MCA bypass surgery. Sung Pil Joo; Tae Sun Kim; Bo Ra Seo; Jung Kil Lee; Jae Hyoo Kim; Soo Han Kim; Joon Tae Kim; Man Seok Park; Ki Hyun Cho // Acta Neurochirurgica;Mar2010, Vol. 152 Issue 3, p547 

    Yasagil temporary clips have been widely used in extracranial-intracranial (EC-IC) arterial bypass surgery. However, the extremely delicate vessels involved often require the application of finer clips. We report on the use of the Kopitnik arteriovenous malformation (AVM) microclip system for...

  • Vasoplegic Syndrome after Off-Pump Coronary Artery Bypass Surgery. Raja, Shahzad G.; Dreyfus, Gilles D. // Texas Heart Institute Journal;2004, Vol. 31 Issue 4, p421 

    Presents a medical case involving a man who developed norepinephrine-resistant vasoplegic syndrome after elective off-pump coronary artery bypass surgery. Characterization of vasoplegic syndrome; Description of the techniques and procedures used on the patient; Use of vasopressin in managing...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics