Successful treatment of anomalous origin of the left coronary artery from the pulmonary artery in a 5-week-old male infant

Mitsuhiro Kamisago; Shunichi Ogawa; Yoshiaki Hino; Osamu Jimbo; Yuuichi Nagai; Riku Hayashi; Takashi Seki; Takashi Ohkubo; Jiakun Zhang; Hitoshi Yamauchi; Junichi Ninomiya; Masao Yamamoto

doi:10.1272/jnms1923.65.312

Mitsuhiro Kamisago, Shunichi Ogawa, Yoshiaki Hino, Osamu Jimbo, Yuuichi Nagai, Riku Hayashi, Takashi Seki, Takashi Ohkubo, Jiakun Zhang, Hitoshi Yamauchi, Junichi Ninomiya, Masao Yamamoto

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Keywords: anomalous origin of the left coronary artery from the pulmonary artery (AL-CAPA), The brand-white-garland syndrome (BWG syndrome), two-coronary system

JOURNAL FREE ACCESS

1998 Volume 65 Issue 4 Pages 312-315

DOI https://doi.org/10.1272/jnms1923.65.312

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Abstract

A 5-week-old male infant who was referred to our hospital because of tachypnea and poor feeding. An electrocardiogram showed a deep Q wave in lead _aV_L, negative T waves in leads I, II, III, _aV_F and V₆ and a positive T wave in V₁. Echocardiography revealed severely impaired left ventricular function. Aortography confirmed with a diagnosis of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). Takeuchi's procedure was performed and the patient maintained postoperatively on assisted circulation for 7hours even though sternal closure delayed until 7 days post operatively. His left ventricular function showed and marked improvement gradually. (J Nippon Med Sch 1998; 65: 312-315)

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