Giant coronary artery aneurysm after Takeuchi repair for anomalous left coronary artery from the pulmonary artery.
Giant coronary artery aneurysm after Takeuchi repair for anomalous left coronary artery from the pulmonary artery.
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DOI：
10.1016/j.amjcard.2013.08.056
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发表时间：
2014-01-01
影响因子：
2.8
通讯作者：
Warnes, Carole A.
中科院分区：
文献类型：
--
作者：
Dunlay, Shannon M.;Bonnichsen, Crystal R.;Dearani, Joseph A.;Warnes, Carole A.
一位33岁的女性，7岁时因Takeuchi修复后肺动脉状态引起左冠状动脉异常。Takeuchi手术创造了一个主动脉肺窗和一个肺内隧道，将左冠状动脉与主动脉隔开。纵膈肿块被确定为左冠状动脉巨大动脉瘤，导致肺动脉和左上肺静脉受压。患者于左冠状动脉主动脉入口行开放修补及膜片封闭修复，并切除动脉瘤。在左侧前降区行隐静脉移植。术后超声心动图显示左心室功能正常。这是第一例报道的巨大动脉瘤形成后，竹内修复。报道的并发症包括肺动脉瓣狭窄、瓣漏、左心室功能下降和二尖瓣反流。总之，Takeuchi手术的晚期并发症很常见，强调了在有治疗冠状动脉异常经验的中心进行终身随访的重要性。
A 33 year old woman with anomalous left coronary artery arising from the pulmonary artery status post Takeuchi repair at age 7 presented for evaluation. The Takeuchi procedure creates an aortopulmonary window and an intrapulmonary tunnel that baffles the left coronary artery to the aorta. A mediastinal mass was identified as a giant aneurysm of the left coronary artery resulting in compression of the pulmonary artery and left upper pulmonary vein. The patient underwent open repair with patch closure at the aortic entrance of the left coronary Takeuchi repair and resection and evacuation of the aneurysm. A saphenous vein graft to the left anterior descending was performed. Postoperative echocardiography demonstrated normal left ventricular function. This is the first reported case of giant aneurysm formation following Takeuchi repair. Reported complications include the development of pulmonary artery stenosis at the intrapulmonary baffle, baffle leak, decreased left ventricular function, and mitral regurgitation. In conclusion, late complications of the Takeuchi procedure are common, underscoring the importance of lifelong follow-up at a center with experience in treating coronary anomalies.
影响因子：
1.6
作者：
Dionne, Pierre O.;Poirier, Nancy;Noiseux, Nicolas
通讯作者：
Noiseux, Nicolas
影响因子：
1.6
作者：
Ginde, Salil;Earing, Michael G.;Tweddell, James S.
通讯作者：
Tweddell, James S.