Severe Tricuspid Insufficiency after Correction of Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery(ALCAPA).
- Author:
Man Jong BAEK
1
;
Woong Han KIM
;
Sam Se OH
;
Jae Wook RYU
;
Joon Hyuk KONG
;
Cheong LIM
;
Soo Cheol KIM
;
Jae Young LEE
;
Yang Bin JEON
;
Seog Ki LEE
;
Chang Ha LEE
;
Wook Sung KIM
;
Chan Young NA
;
Young Tak LEE
;
Yong Woong YOON
;
Young Kwang PARK
;
Chong Whan KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute, Puchon-shi, Kyonggi-do, Korea. woonghan@korea.com
- Publication Type:Case Report
- Keywords:
ALCAPA syndrme;
Tricuspid valve insufficiency;
Tricuspid valve, repair
- MeSH:
Bland White Garland Syndrome;
Cardiopulmonary Bypass;
Catheterization;
Coronary Angiography;
Coronary Vessels*;
Heart Arrest, Induced;
Humans;
Infant;
Male;
Mitral Valve Insufficiency;
Pulmonary Artery;
Replantation;
Tricuspid Valve;
Tricuspid Valve Insufficiency
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(9):724-728
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of an 8 years and 11 month-old male patient who had developed severe tricuspid insufficiency(TI) after correction of anomalous origin of the left coronary artery from the pulmonary artery(ALCAPA). Transthoracic echocardiogram and coronary angiography confirmed ALCAPA, ischemic mitral regurgitation and trivial TI. He underwent direct reimplantation of the left coronary artery to the aortic root by using additional cannulation at the main pulmonary artery for arterial inflow and cardioplegia delivery to the left coronary artery. After the correction of ALCAPA, transesophageal echocardiogram(TEE) revealed good antegrade flow at the aortic implantation site of the left coronary artery and severe TI(Gr III-IV/IV). Cardiopulmonary bypass was reestablished and tricuspid valve was repaired with Kay-type annuloplasty, artificial chordae formation and chordal shortening plasty. The postrepair TEE revealed trivial to mild TI.
