Anomalous left coronary artery from pulmonary artery repair: Outcomes from the European Congenital Heart Surgeons Association Database

Laura Torlai Triglia, Alvise Guariento, Lorenza Zanotto, Lucia Zanotto, Claudia Cattapan, Renjie Hu, Haibo Zhang, Claudia Herbst, Jurgen Horer, George Sarris, Tjark Ebels, Bohdan Maruszewski, Zdzislaw Tobota, David Blitzer, Giulia Lorenzoni, Daniele Bottigliengo, Dario Gregori, Massimo Padalino, Giovanni Di Salvo, Vladimiro L. Vida*

*Bijbehorende auteur voor dit werk

OnderzoeksoutputAcademicpeer review

3 Citaten (Scopus)
33 Downloads (Pure)


Introduction We sought to determine the surgical outcomes of patients with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) enrolled in the European Congenital Heart Surgeons Association (ECHSA) database.

Materials and Methods From 1999 to 2019, 907 patients with ALCAPA underwent surgical repair and were included in the current study. The primary outcome was in-hospital mortality. Secondary outcomes included frequency and results of concomitant mitral valve surgery and postoperative mechanical circulatory support (MCS).

Results The overall in-hospital mortality was 6% (54/907) and was significantly higher in neonates (p = .01), patients with lower body surface area (BSA) (p = .01), and those requiring postoperative MCS (p = .001). Associated mitral valve surgery was performed in 144 patients (15.9%) and was associated with longer cardiopulmonary bypass (CPB) and aortic cross-clamp times (AOX) (p

Conclusions ALCAPA repair can be achieved successfully, and with low surgical risk. Concomitant mitral valve procedures can be performed without increasing operative mortality. The use of MCS remains a valuable option, especially in younger patients.

Originele taal-2English
Pagina's (van-tot)1910-1916
Aantal pagina's7
TijdschriftJournal of cardiac surgery
Nummer van het tijdschrift6
Vroegere onlinedatum2-mrt-2021
StatusPublished - jun-2021

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