TAKEUCHI TECHNIQUE AND ANOMALIOUS LEFT CORONARY ARTERY FROM THE PULMONARY ARTERY (ALCAPA SYNDROME) IN ADULTS: A CASE AND A REVIEW OF THE LITERATURE

Đức Hùng Dương, Trọng Hải Hoàng, Hữu Lư Phạm

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Abstract

Objective: To report a clinical case of an adult patient with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA syndrome), who underwent successful tunneling operation in the pulmonary artery root (Takeuchi technique) and review the literature. Method: To describe a rare clinical case. Case: A 43-year-old female patient was found to have anomalous origin of the left coronary artery, had no clinical symptoms, and showed signs of myocardial ischemia during exercise testing. The patient was indicated for surgery to change the origin of the left coronary artery using the Takeuchi technique. The surgery went well, the patient was extubated after 6 hours, and was stable after 4 months of postoperative follow-up. Conclusion: Anomalous origin of the left coronary artery is a rare disease in adults, diagnosed based on multi-slice computed tomography and percutaneous coronary angiography. Surgery is a radical treatment method, preventing dangerous complications.

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References

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