Aortic Implantation of Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery: Long-Term Outcomes Michael C. Mongé, MD, Osama Eltayeb,

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Presentation transcript:

Aortic Implantation of Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery: Long-Term Outcomes Michael C. Mongé, MD, Osama Eltayeb, MD, John M. Costello, MD, Anne E. Sarwark, MA, Michael R. Carr, MD, Carl L. Backer, MD The Annals of Thoracic Surgery Volume 100, Issue 1, Pages 154-161 (July 2015) DOI: 10.1016/j.athoracsur.2015.02.096 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Diagrammatic representation of aortic (Ao) and pulmonary artery (PA) origins of the left main coronary artery (LMCA) in normal and anomalous conditions. Cephalic views depict a person in the nonfacing (NF) sinus with the right hand always signifying sinus 1 and the left hand always signifying sinus 2. (Reprinted from Dodge-Khatami A, Mavroudis C, Backer CL. Congenital Heart Surgery Nomenclature and Database Project: anomalies of the coronary arteries. Ann Thorac Surg 2000;69(4 Suppl):S270–97, with permission from Elsevier.) (ALCAPA = anomalous left coronary artery from the pulmonary artery; RCA = right coronary artery.) The Annals of Thoracic Surgery 2015 100, 154-161DOI: (10.1016/j.athoracsur.2015.02.096) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Length of postoperative follow-up in years for 22 patients. The Annals of Thoracic Surgery 2015 100, 154-161DOI: (10.1016/j.athoracsur.2015.02.096) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Graph showing improvement in mean mitral regurgitation grade between preoperative (Preop) and discharge transthoracic echocardiography with stabilization of mitral regurgitation between discharge and late transthoracic echocardiography. The degree of mitral regurgitation was available for 32 patients at both presentation and discharge and for 21 patients at both discharge and late transthoracic echocardiography. The Annals of Thoracic Surgery 2015 100, 154-161DOI: (10.1016/j.athoracsur.2015.02.096) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Graph showing improvement in mean left ventricular grade between preoperative (Preop) and discharge transthoracic echocardiography with progressive recovery between discharge and late transthoracic echocardiography. Degree of left ventricular dysfunction was reported in 28 patients at both the preoperative and discharge transthoracic echocardiography and in 21 patients at both discharge and late follow-up. The Annals of Thoracic Surgery 2015 100, 154-161DOI: (10.1016/j.athoracsur.2015.02.096) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Graph showing improvement in left ventricular shortening fraction in 19 patients in which it was reported in both the preoperative (Preop) and discharge transthoracic echocardiography and in 15 patients in which it was documented at both the discharge and late transthoracic echocardiography. The Annals of Thoracic Surgery 2015 100, 154-161DOI: (10.1016/j.athoracsur.2015.02.096) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Graph demonstrating improvement in left ventricular end-diastolic dimension index to body surface area (cm2/m2) in 20 patients with data reported at both preoperative (Preop) and discharge transthoracic echocardiography and in 16 patients at discharge and late transthoracic echocardiography. The Annals of Thoracic Surgery 2015 100, 154-161DOI: (10.1016/j.athoracsur.2015.02.096) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions