Anomalous origin of the
left coronary artery from the pulmonary artery: collective review of surgical therapy.
Myocardial ischaemia in a case of a solitary coronary ostium in the right aortic sinus with retroaortic course of the
left coronary artery: Documentation of the underlying pathophysiological mechanisms of ischaemia by intracoronary Doppler and pressure measurements.
This patient was treated by 52 x [10.sup.4] [CD.sup.133.+]/[CD.sup.34.+] BMMNCs, and the cells were introduced by
left coronary artery (LCA).
In patients with anomalous
left coronary artery originating from the pulmonary artery, the time of clinical signs and symptoms varies.
Embryologically, the anomaly arises from either abnormal septation of the aorta and the pulmonary artery, or from persistence of aortic buds that form the coronary arteries.2 In the neonatal period, the baby is asymptomatic as there is anterograde flow of desaturated blood from the pulmonary artery to the
left coronary artery. As pulmonary arterial pressure drops, the combination of low flow and desaturated blood causes myocardial ischaemia, especially during exertion.
Only one case was found with the origin of the
left coronary artery from the pulmonary artery, a one year old patient.
In one investigation, the researchers relied on dogs and a device that gradually narrows the
left coronary artery. That experimental process mimics what happens to humans when the coronary arteries become choked with fatty plaque, Epstein says.
Anatomic parameters of the
left coronary artery: an angiographic study in a South African population.
The right coronary artery is involved in 50 to 55% of cases while
left coronary artery is in 35% cases.
Regardless of the right or
left coronary artery grafts, most of the vein grafts can successfully be engaged by a commonly used Judkin's right4 (JR4) catheter.
Anomalous
left coronary artery from the pulmonary artery (ALCAPA), also known as Bland-White-Garland syndrome, is a congenital coronary anomaly comprising 0.4% of all congenital heart diseases.
Background: Anomalous origin of the
left coronary artery (LCA) from the pulmonary artery (ALCAPA) is a rather rare congenital anomaly that has a profound effect on heart function.