Preoperative Evaluation and Midterm Outcomes after the Surgical Correction of Anomalous Or

Preoperative Evaluation and Midterm Outcomes after the Surgical Correction of Anomalous Origin of the Left Coronary Artery from the Pulmonary

Artery in 50 Infants and Children

Hui-Li Zhang;Shou-Jun Li;Xu Wang;Jun Yan;Zhong-Dong Hua

【期刊名称】《中华医学杂志（英文版）》 【年(卷),期】2017(130)023

【摘要】Background: Anomalous origin of the left coronary artery (LCA) from the pulmonary artery (ALCAPA) is a rather rare congenital anomaly that has a profound effect on heart function. This study aimed to retrospectively illustrate the perioperative clinical features, therapy experience, and midterm outcomes after surgical correction, and to determine the value of left ventricular ejection fraction (LVEF) and myocardial viability in differentiating critically ill patients among infants and children with ALCAPA. Methods: From April 1999 to March 2013, infants and children patients diagnosed with ALCAPA in Beijing Fuwai Hospital were analyzed. Clinical data of patients were summarized and retrospectively analyzed. All patients were divided into two groups according to LVEF level (Group 1: LVEF >50%, or Group 2: LVEF ≤50%) to compare perioperative and follow-up variables. Effect of myocardial viability

evaluated

according

to

myocardial

perfusion/18F-

fluorodeoxyglucose (FDG) imaging on the clinical variables was also