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  • Família ABC
  • Arquivos Brasileiros de Cardiologia
  • International Journal of Cardiovascular Sciences
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  • ABC Imagem Cardiovascular
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  2. Palavra-chave: anomalous left coronary artery
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Original Article

Anomalous origin of the left coronary artery from the pulmonary trunk. Clinical features and midterm results after surgical treatment

Fernando Amaral et al. Julene S. Carvalho João A. Granzotti Elliot A. Shinebourne

OBJECTIVE: To report the authors’ experience with the anomalous origin of the left coronary artery (AOLCA) from the pulmonary trunk, emphasizing preoperative data, surgical aspects and midterm results of the follow-up. METHODS: Retrospective analysis of 11 patients operated upon at the Royal Brompton Hospital from October, 84 to April, 97. RESULTS: Nine infants had heart failure (HF) and two other children presented with dyspnea and chest pain. All had ECG changes. The echocardiogram identified the anomalous origin of the coronary artery in 7 (64%) patients and hemodynamic studies were performed in 7 patients. All infants were operated upon between the 2nd and 10th month of life. Six patients were treated with aortic reimplantation of the left coronary artery, whereas five were operated upon according to the Takeuchi technique. All patients are alive, with clear improvement of the ECG changes and ventricular function, as evaluated by echocardiography. Two patients operated upon according to the Takeuchi technique required additional surgery due to severe supravalvular pulmonary stenosis. CONCLUSION: AOLCA is a rare disease. Most patients show early signs of severe HF associated with ECG findings. Surgical therapy must be instituted early in the disease, preferentially through aortic implantation of the anomalous coronary artery, with a high possibility of success. Shortly after surgery, clinical and ECG improvement, as well as normalization of left ventricular function, should be expected.

  • anomalous left coronary artery
  • Bland-White-Garland syndrome
  • Left Ventricular Function
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Creative Commons Attribution (CC BY) Creative Commons license
08/01/2002 DOI: 10.1590/S0066-782X1999000300004 Visualizações 1

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Formato de Documento Eletrônico (Vancouver)

Amaral F, Carvalho JS, Granzotti JA, Shinebourne EA. Anomalous origin of the left coronary artery from the pulmonary trunk. Clinical features and midterm results after surgical treatment. Arquivos Brasileiros de Cardiologia 2002;72(3):307-20.

Formato de Documento Eletrônico (ABNT)

Amaral, Fernando; Carvalho, Julene S.; Granzotti, João A.; Shinebourne, Elliot A.. Anomalous origin of the left coronary artery from the pulmonary trunk. Clinical features and midterm results after surgical treatment. Arquivos Brasileiros de Cardiologia, v. 72, n. 3, p. 307-320, jan. 2002.

Formato de Documento Eletrônico (APA)

Amaral, F., Carvalho, J. S., Granzotti, J. A., & Shinebourne, E. A. (2002). Anomalous origin of the left coronary artery from the pulmonary trunk. Clinical features and midterm results after surgical treatment. Arquivos Brasileiros de Cardiologia, 72(3), 307-320.

Formato de Documento Eletrônico (ISO)

Amaral, Fernando and Carvalho, Julene S. and Granzotti, João A. and Shinebourne, Elliot A.. Anomalous origin of the left coronary artery from the pulmonary trunk. Clinical features and midterm results after surgical treatment. Arquivos Brasileiros de Cardiologia [online]. 2002, vol. 72, n. 3, [citado 2026-10-14], pp. 307-320. Disponível em: <https://journals.cardiol.br/article/anomalous-origin-of-the-left-coronary-artery-from-the-pulmonary-trunk-clinical-features-and-midterm-results-after-surgical-treatment-2/>. ISSN 0066-782X

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