Definite improvement in left ventricular function at six years after the Takeuchi procedure
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 wordsanomalous origin of the left coronary artery Takeuchi procedure autologous pericardium
Unable to display preview. Download preview PDF.
- 1.Fukuchi S, Imai Y, Kurosawa H, Takanashi Y, Hoshino S, Takamizawa K. A surgical successful case of anomalous origin of the left coronary artery from the pulmonary artery in infancy (Eng abstr). J Jpn Assn Thorac Surg 1987; 35: 104–10.Google Scholar
- 3.Lambert V, Touchot A, Losay J, Piot JD, Henglein D, Serraf A, et al. Midterm results after surgical repair of the anomalous origin of the coronary artery. Circulation 1996; 94 (Suppl II): II–38-43.Google Scholar