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2020, Number 2

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Rev Cubana Pediatr 2020; 92 (2)

Anomalous origin of left coronary artery from the pulmonary artery

Céspedes AM, González MAE, Serrano RG

Language: Spanish
References: 30
Page: 1-11
PDF size: 394.00 Kb.


ABSTRACT

Introduction: The anomalous origin of left coronary artery that originates in the pulmonary artery, known as Bland, White and Garland is a congenital heart disease, with low incidence, variable clinical spectrum and is not exclusive of the pediatric age group. It has a high mortality in the first year of life if not diagnosed and treated early.
Objective: To describe the characteristics of the diagnosis of Bland, White and Garland syndrome.
Methods:<7b> It was made the characterization of the entity in Cuba in a decade (2005 to 2015). There were included all the patients with clinical manifestations suggestive to Bland, White and Garland syndrome and echocardiographic confirmation. It was made the calculation of this entity´s prevalence and it was used the percentage in the qualitative variables and Fisher's exact test. The statistical validation of research results had a significance level lower than 5 %.
Results: The estimated prevalence in that decade in Cuba was around 2.9 per 300 000 live births. It was demonstrated the variability in its clinical manifestations and wide range of onset´s age. The treatment is surgical with excellent survival and prognosis.
Conclusions: The diagnosis of Bland, White and Garland syndrome is difficult through the clinical method due to the diversity in its presentation. The estimated prevalence in Cuba is greater than what was registered in the world today. Early diagnosis and prompt treatment significantly improves the survival and prognosis of patients suffering from this condition.


REFERENCES

  1. Ramírez RF, Bitar HP, Paolinelli GP, Pérez CD, Furnaro F. Anomalías congénitas de arterias coronarias, estudio de aquellas con importancia hemodinámica. Rev Chil Radiol. 2018;24:142-50.

  2. Brooks HS. Two cases of an abnormal coronary artery of the heart, arising from the pulmonary artery; with some remarks upon the effect of this anomaly in producing cirsoid dilatation of the vessels. J Anat Physiol. 1885;20:26-9.

  3. Bland EF, White PD, Garland J. Congenital anomalies of coronary arteries. Report of unusual case associated with cardiac hypertrophy. Am Heart J. 1933;8:787-801.

  4. Pérez C, Negueruela CA, Posada SC, Bartrons J,Sarquella CG, Brugada JM, et al. Nueve casos de origen anómalo de una arteria coronaria.Cir Cardiovasc. 2014;21(3):204-8.

  5. Bachini JP, Amodio A, Guzmán R, Fernández N, Ivanna Duro I, Viñas S. Nacimiento anómalo de la arteria coronaria izquierda desde la arteria pulmonar, síndrome de ALCAPA. Primer reporte de caso en Uruguay. Rev Urug Cardiol. 2019;34:213-7.

  6. Valentín Rodríguez A. Cardiopatías congénitas en edad pediátrica, aspectos clínicos y epidemiológicos. Rev Méd Electrón. 2018 [acceso 12/02/2019];40(4). Disponible en: http://www.revmedicaelectronica.sld.cu/index.php/rme/article/view/2479/3971

  7. Saavedra MJ, Mozzi J, Nápoli N, Villa A, Barretta J, Marantz P. Origen anómalo de la arteria coronaria derecha de la arteria pulmonar en un lactante con soplo cardiaco: A propósito de un caso. Arch. Argent. Pediatr. 2018;116:789-92.

  8. Céspedes Almira M, Serrano Ricardo G, González Morejón AE. Síndrome de Bland, White y Garland. Rev Cubana Pediatr. 2016;88:205-13.

  9. Ugalde PH, Rozas AS, Sanhueza FMI, Yubini LMC, García BS. Síndrome de ALCAPA en adulto. Caso clínico. Rev Méd Chile. 2017;145(1):121-5.

  10. Yamanaka O, Hobbs R. Coronary artery anomalies in 126, 595 patients undergoing coronary arteriography. Cathet Cardiovasc Diag. 1990;21:28-40.

  11. Mujica MA, De Lima C, González R, Fernández L, Castillo D, Flores Y, et al. Síndrome ALCAPA en paciente adulto. Avances Cardiol. 2014;34(3):257-8.

  12. Boutsikou M, Shore D, Li W, Rubens M, Pijuan A, Gatzoulis MA, et al. Anomalous left coronary artery from the pulmonary artery (ALCAPA) diagnosed in adulthood: varied clinical presentation, therapeutic approach and outcome. Int J Card. 2018;261:49-53.

  13. Moeinipour A, Teshnisi MA, Moghadam Shahri HM. The anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA): a case series and brief review. Int J Pediatr. 2016;4: 397-405.

  14. Alfonso JA, Laucirica Hernández C, Mondejar Rodríguez J. El método clínico frente a las nuevas tecnologías. Rev Méd Electrón. 2014 [acceso 22/10/2018];36(4). Disponible en: http://www.revmatanzas.sld.cu/revista%20medica/ano%202014/vol4%202014/tema12.htm

  15. Serrano G, González AE. Fundamentos éticos del método clínico y la ecocardiografía transtorácica en niños con cardiopatías congénitas. Hum Méd. 2015;15(2):226-40.

  16. Haiyan Y, Jinqing L, Xiaojuan J. Diagnosis of Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery with Echocardiography and Digital Subtraction Angiography. C R Card. 2018; 2018:1-6.

  17. Patel SG, Frommelt MA, Frommelt PC, Kutty S, Cramer JW. Echocardiographic diagnosis, surgical treatment, and outcomes of anomalous left coronary artery from the pulmonary artery. J Am Soc Echocardiogr. 2017;30:896-903.

  18. Bess S. Anuario estadístico de salud MINSAP. Datos demográficos 2018. En: Bess S, Alonso I, Sánchez E, editores. La Habana: Dirección de Registros Médicos y Estadísticas de salud. p. 17-27.

  19. World Medical Association (WMA). World Medical Association Inc. Declaration of Helsinki-Ethical Principles for Medical Research Involving Human Subjects. 64ª Asamblea General, Fortaleza, Brasil: WMA; 2013 [acceso16/03/2017]. Disponible en: https://www.wma.net/en/30publications/10policies/b3/index.html

  20. Chandra MP, Debabrata B, Ashish G, Sudama T. ALCAPA presenting as acute coronary syndrome in an adult: an interesting case report with short review of literature. J Cardiovasc Dis Res. 2015;6:40-4.

  21. Yáñez-Gutiérrez L, López-Gallegos D, Cerrud-Sánchez CE, Márquez-González H, García-Pacheco MB, Jiménez-Santos M, et al. Origen anómalo de la coronaria izquierda en la arteria pulmonar (ALCAPA) en la edad adulta. Una serie de 5 casos reparados con éxito con cirugía. Rev Mex Cardiol. 2015;26:195-200.

  22. Rodriguez-Gonzalez M, Tirado AM, Hosseinpour R, De Soto JS. Anomalous origin of the left coronary artery from the pulmonary artery: diagnoses and surgical result in 12 pediatric patients. Tex Heart Inst J. 2015;42:350-6.

  23. Chiesa P, Gutiérrez C, Ceruti B. Patología coronaria en la edad pediátrica. Alto riesgo de muerte súbita. Arch Pediatr Urug. 2014;85(4):202-4.

  24. Giacomini D, Romanucci G, Savastano S. CT diagnosis of a coronary-pulmonary baffle leak complicating Takeuchi repair procedure for ALCAPA syndrome. J Card Comp Tomog. 2016;10:184-5.

  25. Vilá Mollinedo LG, Jaime Uribe A, Aceves Chimal JL, Martínez-Rubio RP, Hernández-Romero KP. Case Report: ALCAPA syndrome: successful repair with an anatomical and physiological alternative surgical technique. F1000Research. 2016;5:1-11.

  26. Naimo PS, Fricke TA, D´Udekem Y, Cochrane AD, Bullock A, Robertson T, et al. Surgical intervention for anomalous origin of left coronary artery from the pulmonary artery in children: a long-term follow-up. Ann Thorac Surg. 2016;101:1842-9.

  27. Azakie A. Repair of anomalous origin of left coronary artery from the pulmonary artery by aortic implantation. Operative Tech Thorac Cardiov Surg. 2015;20:135-47.

  28. Huddleston CB, Balzer DT, Mendeloff EN. Repair of anomalous left main coronary artery arising from the pulmonary artery in infants: long-term impact on the mitral valve. Ann Thorac Surg. 2001;71:1985-8.

  29. Dodge-Khatami A, Mavroudis C, Backer CL. Anomalous origin of the left coronary artery from the pulmonary artery: collective review of surgical therapy. Ann Thorac Surg. 2002;74: 946-55.

  30. Takeuchi S, Imamura H, Katsumoto K, Hayashi I, Katohgi T, Yozu R, et al. New surgical method for repair of anomalous left coronary artery from pulmonary artery. J Thorac Cardiovasc Surg. 1979;78:7-11.




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