Anomalous left coronary artery originating from the pulmonary artery postoperative follow-up and its prognosis
10.3760/cma.j.issn.1001-4497.2018.02.007
- VernacularTitle:左冠状动脉异常起源于肺动脉术后随访及预后
- Author:
Cuicui WANG
1
;
Huifeng ZHANG
;
Bing JIA
;
Ming YE
;
Gang CHEN
;
Qilin TAO
;
Hua SHEN
;
Xiangang YAN
;
Weiqiang TAN
Author Information
1. 甘肃省妇幼保健院心脏外科
- Keywords:
Anomalousorigin of coronary artery;
Prognosis;
Mitral regurgitation
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(2):88-91
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate it' s prognosis according to the follow-up statistics of coronary reimplantation of anomalous left coronary artery originating from the pulmonary artery (ALCAPA).Methods Analyze the preoperative,peri-operative and postoperative data of 20 ALCAPA patients having undergone coronary artery reimplantation.Results After coronary reimplantation,patient' s cardiothoracic ratio was obviously decreased,the degree of myocardial ischemia was improved according to electrocardiogram,the left ventricular ejection fraction and fractional shortening showed a trend of rise,mostof the patients recover in 6 months to 1 year after coronary artery reimplantation.Left ventricular end-diastolic volume index over time gradually returned to normal,mitral regurgitation gradually.improved.Conclusion ALCAPA is rare and fatal,therefore it should be diagnosed and treated as early as possible.It is also significant to avoid missed diagnosis and misdiagnosis.After coronary reimplantation,cardiac function can be gradually restored with low mortality and good prognosis result.The left ventricularejection fraction of most patients recovers to the normal standard in six months to one year' s time.
