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Successful Intraoperative Identification of an Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Using Real Time Three‐Dimensional Transesophageal Echocardiography
Author(s) -
Jin Yao Dong,
Hsiung Ming C.,
Tsai Shen Kou,
Chang ChungYi,
Wei Jeng,
Ou Chinghuei,
Chang Yi Cheng,
Lee Kuo Chen,
Sue SungHow
Publication year - 2011
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2011.01425.x
Subject(s) - medicine , cardiology , pulmonary artery , artery , left coronary artery , mitral regurgitation , perioperative , heart failure , bypass grafting , right coronary artery , radiology , myocardial infarction , coronary angiography
Anomalous origin of the left coronary artery (LCA) from the pulmonary artery (ALCAPA) is a rare congenital defect that presents only infrequently in adults. An adult diagnosed with ALCAPA, heart failure, and mitral regurgitation underwent surgical ligation of the anomalous origin of the LCA from the pulmonary artery (PA) and coronary artery bypass grafting (CABG). The anomalous origin in the PA and proximal segment of the left anterior descending artery (LAD) was successfully delineated via real time, three‐dimensional transesophageal echocardiography during surgery. This modality allows for fast assessment and novel views of complex cardiac abnormalities and can aid in perioperative monitoring. (Echocardiography 2011;28:E149‐E151)