Therapeutic evaluation by echocardiography after surgical repair of anomalous origin of the left coronary artery from the pulmonary artery
- VernacularTitle:左冠状动脉异常起源于肺动脉患者手术疗效的超声评价
- Author:
Yali YANG
;
Xinfang WANG
;
Mingxing XIE
;
Qing Lü
;
Lin HE
;
Xiaofang LU
;
Jing WANG
;
Ling LI
- Publication Type:Journal Article
- Keywords:
Echocardiography;
Pulmonary artery;
Coronary vessel anomalies;
Coronary artery bypass
- From:
Chinese Journal of Ultrasonography
2008;17(7):553-556
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the role of echocardiography in the therapeutic evaluation after surgical repair of anomalous origin of the left coronary artery from the pulmonary artery(ALCAPA). Methods Six patients with ALCAPA underwent surgery from 2000 to 2007 ,including 3 intrapulmonary tunnel procedures and 3 left coronary artery bypass graft procedures. Post-operative echocardiography was given in every case and the characteristics were compared with the pre-operative results. Results In all cases, the mainly coronary haemodynamics recovered rapidly with decreased severity of mitral regurgitation and excellent cardiac function. Five patients had smooth rebuilded vessels but 1 patient had mild anastomotic block and slight intrapulmonary tunnel leakage. Conclusions Transthoracic echocardiography can evaluate the rebuilded coronary artery, possible complication, cardiac morphous and function and the severity of mitral regurgitation accurately.