caa a22 4500 445823798 CHVBK 20180317145252.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s00246-010-9798-2 doi (NATIONALLICENCE)springer-10.1007/s00246-010-9798-2 Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Children: 15 Years Experience [Elektronische Daten] [Jianyong Zheng, Wenhong Ding, Yanyan Xiao, Mei Jin, Guizhen Zhang, Pei Cheng, Ling Han] This study aimed to illustrate the experience of treating children with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). The clinical data for 19 children with ALCAPA admitted to Beijing Anzhen Hospital from August 1993 to June 2009 were reviewed. According to the data, 47.4% (9/19) of the patients had a misdiagnosis of endocardial fibroelastosis, and 15.8% (3/19) had a misdisgnosis of dilated cardiomyopathy. Electrocardiography showed abnormal Q waves with T wave inversion in leads I, avL, and V4-V6 of 18 patients, especially in lead avL. The ratio of proximal right coronary artery diameter to aotic root diameter exceeded 0.20 for 15 of 16 patients. Apical ventricular aneurysm or aneurysmal dilation (52.6%,10/19), enhanced echogenicity of papillary muscles (84.2%, 16/19), and increased coronary collaterals (78.9%, 15/19) were detected frequently during echocardiography. A total of 18 patients underwent cardiac surgery including left coronary artery (LCA) ligation for 1 patient (5.6%), LCA ligation plus coronary artery bypass grafting for 1 patient (5.6%), Takeuchi operation for 7 patients (38.9%), and LCA reimplantation for 9 patients (50.0%). Five patients died in the hospital, and the remainder were asymptomatic during a follow-up period of 6 to 166months. Their abnormal Q waves gradually regressed, and left ventricular systolic function and size returned to normal with alleviation of mitral insufficiency. The clinical features of ALCAPA are helpful for determining an accurate diagnosis. This anomaly can be treated successfully by several types of operations with good prognosis. Springer Science+Business Media, LLC, 2010 Cardiac surgical procedures nationallicence Coronary artery disease nationallicence Echocardiography nationallicence Electrocardiography nationallicence Pulmonary artery nationallicence Zheng Jianyong Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut Ding Wenhong Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut Xiao Yanyan Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut Jin Mei Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut Zhang Guizhen Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut Cheng Pei Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut Han Ling Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut Pediatric Cardiology Springer-Verlag 32/1(2011-01-01), 24-31 0172-0643 32:1<24 2011 32 246 https://doi.org/10.1007/s00246-010-9798-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-010-9798-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Zheng Jianyong Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Ding Wenhong Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Xiao Yanyan Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Jin Mei Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Zhang Guizhen Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Cheng Pei Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Han Ling Department of Pediatric Cardiology and Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, 100029, Beijing, People's Republic of China aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/1(2011-01-01), 24-31 0172-0643 32:1<24 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer