Redo-ALCAPA Repair With Left Subclavian Artery-to-Left Main Coronary Bypass for Left Coronary Atresia

Author:

Malankar Dhananjay P.1,Mali Shivaji2,Dhake Shyam2,Soni Bharat1,Kandavel Dinesh1,Mhatre Amit2,Bind Dilip2,Bhargava Rajat3,Raj Jinil4,Sheth Ronak5,Garekar Swati5

Affiliation:

1. Department of Paediatric and Congenital Heart Surgery, Fortis Hospital, Mulund, Mumbai, Maharashtra, India

2. Department of Paediatric Cardiac Anaesthesia and Critical Care, Fortis Hospital, Mulund, Mumbai, Maharashtra, India

3. Department of Radiology, Fortis Hospital, Mulund, Mumbai, Maharashtra, India

4. Department of Perfusion Technology, Fortis Hospital, Mulund, Mumbai, Maharashtra, India

5. Department of Paediatric Cardiology, Fortis Hospital, Mulund, Mumbai, Maharashtra, India

Abstract

Different surgical techniques have been described for the primary repair of anomalous left coronary artery arising from the pulmonary artery (ALCAPA); however, very few techniques are described for management of coronary artery occlusion following ALCAPA repair. We present a case of a 7-year-old girl with left main coronary atresia status-post left coronary button transfer for ALCAPA in infancy. She underwent redo-sternotomy and left subclavian artery-to-left main coronary artery bypass plus mitral valve repair and had an uneventful postoperative course.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health,Surgery

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