Noninvasive follow-up of complications after the Takeuchi operation
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Noninvasive follow-up of complications after the Takeuchi operation. / Lilje, Christian; Lê, Trong-Phi; Ntalakoura, Kalliopi; Weil, Jochen; Lacour-Gayet, François.
in: J AM SOC ECHOCARDIOG, Jahrgang 20, Nr. 12, 12.2007, S. 3-4.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Noninvasive follow-up of complications after the Takeuchi operation
AU - Lilje, Christian
AU - Lê, Trong-Phi
AU - Ntalakoura, Kalliopi
AU - Weil, Jochen
AU - Lacour-Gayet, François
PY - 2007/12
Y1 - 2007/12
N2 - Anomalous origin of the left coronary artery from the pulmonary artery is a rare lesion. Untreated, up to 90% of patients die before 1 year of age. The Takeuchi operation and direct coronary artery reimplantation have resulted in low mortality rates and excellent functional outcome. We present the case of a 6-year-old girl with impaired exercise tolerance in whom anomalous origin of the left coronary artery from the pulmonary artery was detected. A Takeuchi operation was performed. Routine follow-up was successfully done by echocardiography. The postoperative anatomy was visualized in detail, including a baffle-to-pulmonary artery fistula and a coronary artery stenosis. Potentially, given current echocardiographic technology in the hands of experienced operators, routine follow-up may be done noninvasively, leaving angiography for nonroutine indications.
AB - Anomalous origin of the left coronary artery from the pulmonary artery is a rare lesion. Untreated, up to 90% of patients die before 1 year of age. The Takeuchi operation and direct coronary artery reimplantation have resulted in low mortality rates and excellent functional outcome. We present the case of a 6-year-old girl with impaired exercise tolerance in whom anomalous origin of the left coronary artery from the pulmonary artery was detected. A Takeuchi operation was performed. Routine follow-up was successfully done by echocardiography. The postoperative anatomy was visualized in detail, including a baffle-to-pulmonary artery fistula and a coronary artery stenosis. Potentially, given current echocardiographic technology in the hands of experienced operators, routine follow-up may be done noninvasively, leaving angiography for nonroutine indications.
KW - Coronary Vessel Anomalies/complications
KW - Coronary Vessels/diagnostic imaging
KW - Female
KW - Humans
KW - Pulmonary Artery/abnormalities
KW - Ultrasonography
KW - Ventricular Dysfunction, Left/diagnostic imaging
U2 - 10.1016/j.echo.2007.05.004
DO - 10.1016/j.echo.2007.05.004
M3 - SCORING: Journal article
C2 - 17628413
VL - 20
SP - 3
EP - 4
IS - 12
ER -