Key result
Dual-coronary surgical repair for adult ALCAPA achieves 100% survival and symptom resolution in small series.
Why the study?
Adult and elderly patients with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) may benefit from surgical intervention, but data are limited.
Does surgical intervention to establish a two coronary system improve clinical outcomes in adult patients with ALCAPA?
Case Report (n=4)
No
Does surgical intervention to establish a two coronary system improve clinical outcomes in adult patients with ALCAPA?
Surgical intervention to establish a two coronary system is safe and provides clinical improvement in adult patients with ALCAPA.
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Supports safety of dual coronary reconstruction in adult ALCAPA; leaves open need for larger prospective studies.
Alexi-Meskishvili et al. (1995) conducted a case report in Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) (n=4). Surgery to establish a two coronary system was evaluated on Postoperative death and clinical improvement. Surgical intervention to establish a two coronary system in four adult women with ALCAPA resulted in no postoperative deaths and clinical improvement in all patients.
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