Current strategies for the management of anomalous origin of coronary arteries from the pulmonary artery

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dc.authorid0000-0001-9338-8152
dc.authorid0000-0001-9919-8392
dc.authorid0000-0003-3468-7712
dc.authorid0000-0002-3105-5472
dc.authorid0000-0002-8647-6055
dc.authorid0000-0001-6643-9364
dc.authorid0000-0002-0799-4875
dc.authorid0000-0003-4856-0974
dc.contributor.authorBeyaz, Metin Onur
dc.contributor.authorÇoban, Şenay
dc.contributor.authorUlukan, Mustafa Özer
dc.contributor.authorDo?an, Mehmet Sait
dc.contributor.authorErol, Cengiz
dc.contributor.authorSarıtaş, Türkay
dc.contributor.authorErdem, Abdullah
dc.contributor.authorAkdeniz, Celal
dc.contributor.authorU?urlucan, Murat
dc.contributor.authorAkçevin, Atıf
dc.contributor.authorTürko?lu, Halil
dc.date.accessioned2021-03-22T11:57:28Z
dc.date.available2021-03-22T11:57:28Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractINTRODUCTION: The coronary arteries, which have to originate from the aorta, may sometimes rise from the pulmonary artery. This study evaluated clinical and diagnostic findings, treatment methods, and follow up of cases with anomalous coronary arteries arising from the pulmonary artery. PATIENTS AND METHODS: Eight patients with the diagnosis of anomalous left coronary artery from the pulmonary artery (ALCAPA) (N = 6) and anomalous right coronary artery from the pulmonary artery (ARCAPA) (N = 2), between January 2014 and January 2020 from a single center university hospital, were included in the study. Data from patients' demographic characteristics, electrocardiography, echocardiography, angiographic findings, operation, hospitalization, and follow up were evaluated. RESULTS: The study included eight patients (six females and two males) - six patients with ALCAPA and two with ARCAPA. The ages of the patients ranged between 3-135 (average: 53.25) months. The median body weight was calculated as 17.4 kg. Severe mitral valve insufficiency was detected in two patients and two other patients had a moderate degree of mitral insufficiency on echocardiography. Ejection fractions ranged between 16-74%. One patient had perimembranous malalignment large ventricular septal defect with pulmonary stenosis. Operative techniques were Takeuchi procedure (three patients), direct implantation (four patients), and left internal thoracic artery to left main coronary artery bypass (one patient). Mechanical cardiac support was not required in the postoperative period. Mortality did not occur. Mitral insufficiency and ejection fractions improved following correction of the coronary anatomy. CONCLUSION: It is important to diagnose the ALCAPA or ARCAPA, where the coronary artery originates from the pulmonary artery. Patients should be treated before congestive heart failure and fatal complications occur. Surgical correction should be planned regardless of symptom status, even though some of patients reach adulthood with an increased number of collaterals.
dc.identifier.citationBeyaz, M. O., Çoban, Ş., Ulukan, M. Ö., Do?an, M. S., Erol, C., Sarıtaş, T. ... Türko?lu, H. (2021). Current strategies for the management of anomalous origin of coronary arteries from the pulmonary artery. The Heart Surgery Forum, 24(1), E65-E71. https://dx.doi.org/10.1532/hsf.3421
dc.identifier.doi10.1532/hsf.3421
dc.identifier.endpageE71
dc.identifier.issn1522-6662
dc.identifier.issn1098-3511
dc.identifier.issue1
dc.identifier.scopusqualityQ3
dc.identifier.startpageE65
dc.identifier.urihttps://dx.doi.org/10.1532/hsf.3421
dc.identifier.urihttps://hdl.handle.net/20.500.12511/6645
dc.identifier.volume24
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherNLM (Medline)
dc.relation.ispartofThe Heart Surgery Forumen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCoronary Arteries
dc.subjectPulmonary Artery
dc.subjectManagement of Anomalous Origin
dc.titleCurrent strategies for the management of anomalous origin of coronary arteries from the pulmonary artery
dc.typeArticle

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