Complex Repair of Anomalous Left Coronary Artery From the Pulmonary Artery in a 55-Year-Old Patient. Issue 3 (May 2023)

• Record Type: Journal Article
• Authors: Lee, Timothy; Cohen, Jennifer L.; Chan, Alice; Zaidi, Ali N.; Boateng, Percy; Murthy, Raghav A.
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 14:Issue 3(2023)
• Page Start: 397
• Page End: 399
• Publication Date: 2023-05
• Subjects: coronary artery anomaly -- coronary artery surgery -- congenital heart disease -- congenital heart surgery; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/21501351221149898
• Languages: English
• ISSNs: 2150-1351

Abstract

Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a congenital malformation that classically presents within the first year of life. Few patients survive into adulthood, and initial presentation after the fourth decade of life is rare. We describe a 55-year-old woman who presented after cardiac arrest. She initially refused surgery and underwent automated implantable cardioverter defibrillator placement, followed later by surgical repair involving reimplantation of the left coronary artery to the aorta and pulmonary artery reconstruction using interposition grafts. We report this late presentation of ALCAPA and successful surgical management.