Anomalous Origin of The Left Circumflex Coronary Artery from The Left Pulmonary Artery

좌폐동맥에서 기시한 좌회선지의 이상 기시증

  • Ryu, Jae-Wook (Dept. of Thoracic and Cardiovascular Surgery, Dankook University Hospital, College of Medicine, Dankook University) ;
  • Kim, Woong-Han (Dept. of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Na, Chan-Young (Dept. of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Oh, Sam-Se (Dept. of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Kim, Soo-Cheol (Dept. of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Lim, Cheong (Dept. of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Baek, Man-Jong (Dept. of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Park, Young-Kwan (Dept. of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Moon, Sang-Ho (Dept. of Thoracic and Cardiovascular Surgery, Dankook University Hospital, College of Medicine, Dankook University) ;
  • Chang, Sung-Wook (Dept. of Thoracic and Cardiovascular Surgery, Dankook University Hospital, College of Medicine, Dankook University) ;
  • Kim, Chong-Hwan (Dept. of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute)
  • 류재욱 (단국대학교 의료원 흉부외과, 단국대학교 의과대학 흉부외과학 교실) ;
  • 김웅한 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 나찬영 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 오삼세 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 김수철 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 임청 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 백만종 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 박영관 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 문상호 (단국대학교 의료원 흉부외과, 단국대학교 의과대학 흉부외과학 교실) ;
  • 장성욱 (단국대학교 의료원 흉부외과, 단국대학교 의과대학 흉부외과학 교실) ;
  • 김종한 (부천세종병원 흉부외과, 세종심장연구소)
  • Published : 2002.09.01

Abstract

Anomalous origin of the coronary artery in children is a rare disease. Especially anomalous origin of the left coronary artery from pulmonary artery(ALCAPA) is a fatal condition in neonates with myocardial failure. Among the ALCAPA, origin of the circumflex coronary artery from the pulmonary artery is an extremely rare congenital coronary anomaly. We report a case of reimplantation of the left circumflex coronary artery from the left pulmonary artery to the ascending aorta in a 4-year-old girl.

소아의 관상동맥 이상 기시증은 매우 드문 질환으로 알려져 있다. 특히 폐동맥에서 기시한 좌관상동맥 이상 기시증은 신생아기에 심근부전으로 인한 치명적인 상황을 초래할 수 있다. 폐동맥에서 기시한 좌관상동맥 이상 기시증 중에서 좌회선지만 폐동맥에서 기시한 경우는 매우 희귀한 것으로 알려져 있다. 이에 본 저자들은 좌폐동맥에서 기시한 좌회선지 이상 기시증을 보인 4세된 여아에서 좌회선지의 상행 대동맥으로의 재 이식술을 경험하였기에 보고하는 바이다.

Keywords

References

  1. Cardiac Surgery (2nd ed.) Kirklin JW;Barratt-Boyes BG
  2. Ann Thorac Surg v.66 Origin of the circumflex coronary artery from the pulmonary artery in infant Alexi-Meskishvili V;Dahnert I;Hetzer R (et al.) https://doi.org/10.1016/S0003-4975(98)00719-X
  3. J Thorac Cardiovasc Surg v.103 Anomalous origin of the left coronary artery; A twenty-year review of surgical management Backer CL;Stout MJ;Zales VR;Muster AJ;Weigel TJ;Idriss FS
  4. Cardiac Surgery of the Neonate and infant (1st ed.) Castaneda AR;Jonas RA;Mayer JE;Hanley FL
  5. Chest v.106 Delayed presentation of anomalous circumflex coronary artery rising from pulmonary artery following repair of aortopulmonary window in infancy Chopra PS;William HR;Wilson AD;Rao PS https://doi.org/10.1378/chest.106.6.1920
  6. Eur J Cardiothorac Surgery v.15 Malignant ventricular arrhythmias revealing anomalous origin of the left coronary artery from the pulmonary artery in two adults Frapier JM;Leclercq F;Bodino M;Chaptal PA https://doi.org/10.1016/S1010-7940(99)00024-X
  7. J Thorac Cardiovasc Surg v.121 Surgical intervention for anomalous origin of the left coronary artery from the pulmonary artery: the Tokyo experience Isomatzu Y;Imai Y;Shin'oka T;Aoki M;Iwata Y https://doi.org/10.1067/mtc.2001.112834
  8. Ann Thorac Surg v.60 Aortic implantation is possible in all cases of anomalous origin of the left coronary artery from the pulmonary artery Turley K;Szarnicki RJ;Flachsbart KD;Richter RC;Popper RW;Tarnoff H