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Definite improvement in left ventricular function at six years after the Takeuchi procedure

  • Yukihisa Isomatsu
  • Yasuharu Imai
  • Kazuhiro Seo
  • Masatsugu Terada
  • Mitsuru Aoki
  • Toshiharu Shin’oka
Case Report

Abstract

We report a case of a six-year-old girl who underwent the Takeuchi procedure for anomalous origin of the left coronary artery from the pulmonary artery at the age of 4 months. The left ventricular function was severely deteriorated before the initial operation and at 6 years after the procedure showed a remarkable improvement. Mitral regurgitation disappeared during the 6 years. The intrapulmonary tunnel was sufficiently patent to provide adequate blood flow for the anomalous coronary artery. This patient showed supravalvular stenosis due to shrinkage and thickening in the equine pericardium used for reconstruction of the pulmonary artery, and this stenosis was successfully released by autologous pericardial patch angioplasty.

Key words

anomalous origin of the left coronary artery Takeuchi procedure autologous pericardium 

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References

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Copyright information

© The Japanese Society of Thoracic and Cadiovascular Surgery 2000

Authors and Affiliations

  • Yukihisa Isomatsu
    • 1
  • Yasuharu Imai
    • 1
  • Kazuhiro Seo
    • 1
  • Masatsugu Terada
    • 1
  • Mitsuru Aoki
    • 1
  • Toshiharu Shin’oka
    • 1
  1. 1.Department of Pediatric Cardiovascular Surgery, The Heart Institute of JapanTokyo Women’s Medical UniversityTokyoJapan

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