Erişkinde Sol Koroner Arterin Pulmoner Arterden Çıkış Anomalisi Cerrahisi

Otuz sekiz yaşındaki erkek hasta, hastanemize yeni başlayan eforla nefes darlığı ile başvurdu. Yapılan koroner anjiyografi ve bilgisayarlı tomografik anjiyografinin sonuçlarına göre sol koroner arterin pulmoner arterden çıkışı anomalisi saptandı. LİMA sol desendan koroner artere, safen ven grefti ise obtus marjine anastomoz yaparak aortokoroner baypas greft yapıldı. Postoperatif dönemde yakınması olmayan hasta şifa ile taburcu edildi.

Anahtar Kelimeler:

ALCAPA sendromu, konjenital koroner arter anomalisi

Surgery of Anomalous Left Coronary Artery from the Pulmonary Artery in an Adult

A 38-year-old man with no medical history presented with dyspnoea on exertion. Coronary angiography and coronary computerised tomography (CT) angiography revealed anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). The left anterior mammary artery and venous graft were used as a double bypass graft to the left anterior descending coronary and obtuse margin arteries, respectively. The patient was asymptomatic on follow-up.

Keywords:

ALCAPA syndrome, congenital coronary artery anomaly,

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1. Dodge-Khatami A, Mavroudis C, Backer CL. Anomalous origin of the left coronary artery from the pulmonary artery: collective review of surgical therapy. Ann Thorac Surg 2002;74:946-55.
2. Schwerzmann M, Salehian O, Elliot T, Merchant N, Siu SC, Webb GD. Images in cardiovascular medicine: anomalous origin of the left coronary artery from the main pulmonary artery in adults-coronary collateralization at its best. Circulation 2004;110:e511-3.
3. Askenazi J. Nadas A. Anomalous left coronary artery originating from the pulmonary artery. Report on 15 cases. Circulation 1975;51:976-87.
4. So Yeon K, Joon Beom S, Kyung-Hyun D, Jeong-Nam H, Jin Seong L, Jae-Woo S, et al. Coronary artery anomalies: classification and ECG-gated multi-detector row CT findings with angiographic correlation. Radio Graphics 2006;26:317-33.