Life long surveillance is warranted as coronary artery remodels variably after treatment of adult patients with anomalous left coronary artery origin from pulmonary artery
Anomalous left coronary artery origin from pulmonary artery causes heart failure in infancy from ischemia and secondary mitral regurgitation. Rich intramyocardial collateralization may permit survival to adult age, where coronaries become tortuous and aneurysmally dilated. Surgery in adults involves...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Annals of Pediatric Cardiology |
| Subjects: | |
| Online Access: | http://www.annalspc.com/article.asp?issn=0974-2069;year=2023;volume=16;issue=3;spage=219;epage=222;aulast=Sagar |
| _version_ | 1797649477599756288 |
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| author | Pramod Sagar Kothandam Sivakumar |
| author_facet | Pramod Sagar Kothandam Sivakumar |
| author_sort | Pramod Sagar |
| collection | DOAJ |
| description | Anomalous left coronary artery origin from pulmonary artery causes heart failure in infancy from ischemia and secondary mitral regurgitation. Rich intramyocardial collateralization may permit survival to adult age, where coronaries become tortuous and aneurysmally dilated. Surgery in adults involves left coronary ligation and providing a bypass graft to the left system, unlike coronary translocation adopted in infants. Unfavorable coronary remodeling in operated adults may lead to late coronary thrombotic occlusions. Two adults with markedly dilated tortuous coronary arteries showed variable remodeling after corrective intervention that impacted outcomes on follow-up. We stress the need for lifelong angiographic surveillance in older patients. |
| first_indexed | 2024-03-11T15:46:41Z |
| format | Article |
| id | doaj.art-0974e0c2370c4e27b321a9db51c900e3 |
| institution | Directory Open Access Journal |
| issn | 0974-2069 |
| language | English |
| last_indexed | 2024-03-11T15:46:41Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Pediatric Cardiology |
| spelling | doaj.art-0974e0c2370c4e27b321a9db51c900e32023-10-26T05:47:19ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20692023-01-0116321922210.4103/apc.apc_45_23Life long surveillance is warranted as coronary artery remodels variably after treatment of adult patients with anomalous left coronary artery origin from pulmonary arteryPramod SagarKothandam SivakumarAnomalous left coronary artery origin from pulmonary artery causes heart failure in infancy from ischemia and secondary mitral regurgitation. Rich intramyocardial collateralization may permit survival to adult age, where coronaries become tortuous and aneurysmally dilated. Surgery in adults involves left coronary ligation and providing a bypass graft to the left system, unlike coronary translocation adopted in infants. Unfavorable coronary remodeling in operated adults may lead to late coronary thrombotic occlusions. Two adults with markedly dilated tortuous coronary arteries showed variable remodeling after corrective intervention that impacted outcomes on follow-up. We stress the need for lifelong angiographic surveillance in older patients.http://www.annalspc.com/article.asp?issn=0974-2069;year=2023;volume=16;issue=3;spage=219;epage=222;aulast=Sagaradult congenital heart diseaseaneurysmal coronary dilationcomputed tomographycoronary angiographycoronary anomalycoronary thrombosis |
| spellingShingle | Pramod Sagar Kothandam Sivakumar Life long surveillance is warranted as coronary artery remodels variably after treatment of adult patients with anomalous left coronary artery origin from pulmonary artery Annals of Pediatric Cardiology adult congenital heart disease aneurysmal coronary dilation computed tomography coronary angiography coronary anomaly coronary thrombosis |
| title | Life long surveillance is warranted as coronary artery remodels variably after treatment of adult patients with anomalous left coronary artery origin from pulmonary artery |
| title_full | Life long surveillance is warranted as coronary artery remodels variably after treatment of adult patients with anomalous left coronary artery origin from pulmonary artery |
| title_fullStr | Life long surveillance is warranted as coronary artery remodels variably after treatment of adult patients with anomalous left coronary artery origin from pulmonary artery |
| title_full_unstemmed | Life long surveillance is warranted as coronary artery remodels variably after treatment of adult patients with anomalous left coronary artery origin from pulmonary artery |
| title_short | Life long surveillance is warranted as coronary artery remodels variably after treatment of adult patients with anomalous left coronary artery origin from pulmonary artery |
| title_sort | life long surveillance is warranted as coronary artery remodels variably after treatment of adult patients with anomalous left coronary artery origin from pulmonary artery |
| topic | adult congenital heart disease aneurysmal coronary dilation computed tomography coronary angiography coronary anomaly coronary thrombosis |
| url | http://www.annalspc.com/article.asp?issn=0974-2069;year=2023;volume=16;issue=3;spage=219;epage=222;aulast=Sagar |
| work_keys_str_mv | AT pramodsagar lifelongsurveillanceiswarrantedascoronaryarteryremodelsvariablyaftertreatmentofadultpatientswithanomalousleftcoronaryarteryoriginfrompulmonaryartery AT kothandamsivakumar lifelongsurveillanceiswarrantedascoronaryarteryremodelsvariablyaftertreatmentofadultpatientswithanomalousleftcoronaryarteryoriginfrompulmonaryartery |