Isquemia coronaria secundaria a anomalías congénitas de las arterias coronarias

A. Arce Casas; A. Concheiro Guisán; F. J. Cambra Lasaosa; M. Pons Òdena; A. Palomeque Rico; C. Mortera Pérez

doi:10.1157/13042254

Isquemia coronaria secundaria a anomalías congénitas de las arterias coronarias

Translated title of the contribution: Coronary ischemia secondary to congenital anomaly of the left coronary artery

A. Arce Casas^*
, A. Concheiro Guisán
, F. J. Cambra Lasaosa
, M. Pons Òdena
, A. Palomeque Rico
, C. Mortera Pérez

^*Corresponding author for this work

Research output: Indexed journal article › Article › peer-review

8 Citations (Scopus)

Abstract

Coronary artery anomalies constitute 2.2% of congenital malformations of the heart. The most common abnormality is anomalous origin of the left coronary artery from the pulmonary trunk, also known as Bland-White-Garland syndrome. Clinical manifestations are due to myocardial ischemia caused by the creation of an arteriovenous shunt. The childhood type of this anomaly presents high mortality from heart failure. The adult type develops myocardial infarction, arrhythmias, sudden cardiac death or signs of congestive heart failure. Surgical repair is essential. Various surgical approaches are available and the treatment of choice is direct left coronary artery reimplantation in the aorta. An alternative technique is to create an aortopulmonary tunnel (Takeuchi technique). Marked improvement is usually observed after surgical repair. We report two cases of myocardial ischemia due to coronary anomalies.

Translated title of the contribution	Coronary ischemia secondary to congenital anomaly of the left coronary artery
Original language	Spanish
Pages (from-to)	71-73
Number of pages	3
Journal	Anales de pediatría
Volume	58
Issue number	1
DOIs	https://doi.org/10.1157/13042254
Publication status	Published - Jan 2003
Externally published	Yes

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title = "Isquemia coronaria secundaria a anomal{\'i}as cong{\'e}nitas de las arterias coronarias",

abstract = "Coronary artery anomalies constitute 2.2\% of congenital malformations of the heart. The most common abnormality is anomalous origin of the left coronary artery from the pulmonary trunk, also known as Bland-White-Garland syndrome. Clinical manifestations are due to myocardial ischemia caused by the creation of an arteriovenous shunt. The childhood type of this anomaly presents high mortality from heart failure. The adult type develops myocardial infarction, arrhythmias, sudden cardiac death or signs of congestive heart failure. Surgical repair is essential. Various surgical approaches are available and the treatment of choice is direct left coronary artery reimplantation in the aorta. An alternative technique is to create an aortopulmonary tunnel (Takeuchi technique). Marked improvement is usually observed after surgical repair. We report two cases of myocardial ischemia due to coronary anomalies.",

keywords = "ALCAPA, Anomalous origin of the left coronary artery, Bland-White-Garland syndrome, Coronary anomalies, Takeuchi",

author = "\{Arce Casas\}, A. and \{Concheiro Guis{\'a}n\}, A. and \{Cambra Lasaosa\}, \{F. J.\} and \{Pons {\`O}dena\}, M. and \{Palomeque Rico\}, A. and \{Mortera P{\'e}rez\}, C.",

year = "2003",

month = jan,

doi = "10.1157/13042254",

language = "Espa{\~n}ol",

volume = "58",

pages = "71--73",

journal = "Anales de pediatr{\'i}a",

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T1 - Isquemia coronaria secundaria a anomalías congénitas de las arterias coronarias

AU - Arce Casas, A.

AU - Concheiro Guisán, A.

AU - Cambra Lasaosa, F. J.

AU - Pons Òdena, M.

AU - Palomeque Rico, A.

AU - Mortera Pérez, C.

PY - 2003/1

Y1 - 2003/1

N2 - Coronary artery anomalies constitute 2.2% of congenital malformations of the heart. The most common abnormality is anomalous origin of the left coronary artery from the pulmonary trunk, also known as Bland-White-Garland syndrome. Clinical manifestations are due to myocardial ischemia caused by the creation of an arteriovenous shunt. The childhood type of this anomaly presents high mortality from heart failure. The adult type develops myocardial infarction, arrhythmias, sudden cardiac death or signs of congestive heart failure. Surgical repair is essential. Various surgical approaches are available and the treatment of choice is direct left coronary artery reimplantation in the aorta. An alternative technique is to create an aortopulmonary tunnel (Takeuchi technique). Marked improvement is usually observed after surgical repair. We report two cases of myocardial ischemia due to coronary anomalies.

AB - Coronary artery anomalies constitute 2.2% of congenital malformations of the heart. The most common abnormality is anomalous origin of the left coronary artery from the pulmonary trunk, also known as Bland-White-Garland syndrome. Clinical manifestations are due to myocardial ischemia caused by the creation of an arteriovenous shunt. The childhood type of this anomaly presents high mortality from heart failure. The adult type develops myocardial infarction, arrhythmias, sudden cardiac death or signs of congestive heart failure. Surgical repair is essential. Various surgical approaches are available and the treatment of choice is direct left coronary artery reimplantation in the aorta. An alternative technique is to create an aortopulmonary tunnel (Takeuchi technique). Marked improvement is usually observed after surgical repair. We report two cases of myocardial ischemia due to coronary anomalies.

KW - ALCAPA

KW - Anomalous origin of the left coronary artery

KW - Bland-White-Garland syndrome

KW - Coronary anomalies

KW - Takeuchi

UR - https://www.scopus.com/pages/publications/0037731497

U2 - 10.1157/13042254

DO - 10.1157/13042254

M3 - Artículo

C2 - 12628124

AN - SCOPUS:0037731497

SN - 1695-4033

VL - 58

SP - 71

EP - 73

JO - Anales de pediatría

JF - Anales de pediatría

IS - 1

ER -

Isquemia coronaria secundaria a anomalías congénitas de las arterias coronarias

Abstract

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