Author + information
- Received May 17, 2010
- Accepted June 1, 2010
- Published online March 29, 2011.
We developed a technique for correction of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) at infancy consisting of direct anatomic reimplantation of the left coronary ostium in the left sinus of Valsalva (arrows) (A). This technique avoids using foreign material and, importantly, restores normal coronary artery–sinus of Valsalva anatomical relationship (1). However, long-term results remain unknown. In 1978, we performed our first case on a 3-month-old baby in heart failure. She recovered uneventfully, subsequently leading a normal, active life. Thirty years later, she underwent full functional evaluation before pregnancy. Echocardiography showed normal ejection fraction (77%) and left ventricular dimensions (end-diastolic: 47 mm; end-systolic: 29 mm). Stress test was unremarkable. Multislice computed tomography showed normal anatomy, size, and orientation of the left coronary artery originating from the left coronary sinus (B and C), illustrating the long-term success of this anatomic approach.
- Received May 17, 2010.
- Accepted June 1, 2010.
- American College of Cardiology Foundation