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

抄録

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)