Asian Cardiovasc Thorac Ann 2007;15:240-242
© 2007 Asia Publishing EXchange Ltd
Repair of Anomalous Origin of Left Coronary Artery from the Pulmonary Artery
Hong-Wei Guo, MD,
Jiang-Ping Xu, MD,
Yun-Hu Song, MD,
Xiang-Dong Shen, MD,
Shou-Jun Li, MD,
Sheng-Shou Hu, MD
Department of Cardiovascular Surgery, Fu Wai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
For reprint information contact: Hong-Wei Guo, MD Tel: 86 10 8839 8063 Fax: 86 10 6831 3012 Email: ghwdr{at}hotmail.com, Department of Cardiovascular Surgery, Fu Wai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 167 Beilishi Road, Beijing 100037, China.
Patients with anomalous origin of the left coronary artery from the pulmonary artery often have mitral valve regurgitation. Although establishing dual coronary circulation is the procedure of choice, there remains controversy as to how the mitral valve is handled. Between April 1999 and August 2005, 8 patients underwent surgical correction at our institution. There were 4 males and 4 females, aged from 9 months to 13 years (mean, 6.4 years). Six patients underwent direct aortic reimplantation and 2 had a Takeuchi procedure. Simultaneous mitral annuloplasty was performed in 7 patients with moderate or severe mitral regurgitation. There were no deaths or postoperative complications. Follow-up ranged from 4 to 80 months (mean, 34 ± 26 months). Left ventricular function improved significantly from a preoperative fractional shortening of 0.21 ± 0.09 to 0.35 ± 0.06. Mitral regurgitation decreased on follow-up in the 7 patients who had mitral annuloplasty. We recommend performing mitral annuloplasty at the time of operation in patients with moderate or severe mitral regurgitation and anomalous origin of the left coronary artery from the pulmonary artery.
Copyright © 2007 by the Asia Publishing EXchange Ltd.
