Giant coronary artery aneurysm after takeuchi repair for anomalous left coronary artery from the pulmonary artery

Shannon M Dunlay, Crystal R. Bonnichsen, Joseph A. Dearani, Carole A. Warnes

Research output: Contribution to journalArticle

Abstract

A 33-year-old woman with an anomalous left coronary artery arising from the pulmonary artery who had undergone Takeuchi repair at age 7 years presented for evaluation. The Takeuchi procedure creates an aortopulmonary window and an intrapulmonary tunnel that baffles the left coronary artery to the aorta. A mediastinal mass was identified as a giant aneurysm of the left coronary artery resulting in compression of the pulmonary artery and left upper pulmonary vein. The patient underwent open repair with patch closure at the aortic entrance of the left coronary Takeuchi repair and resection and evacuation of the aneurysm. A saphenous vein graft to the left anterior descending artery was performed. Postoperative echocardiography demonstrated normal left ventricular function. This is the first reported case of giant aneurysm formation after Takeuchi repair. The reported complications have included the development of pulmonary artery stenosis at the intrapulmonary baffle, baffle leak, decreased left ventricular function, and mitral regurgitation. In conclusion, late complications of the Takeuchi procedure are common, underscoring the importance of lifelong follow-up at a center with experience in treating coronary anomalies.

Original languageEnglish (US)
Pages (from-to)193-195
Number of pages3
JournalAmerican Journal of Cardiology
Volume113
Issue number1
DOIs
StatePublished - Jan 1 2014

Fingerprint

Coronary Aneurysm
Pulmonary Artery
Aneurysm
Coronary Vessels
Left Ventricular Function
Pulmonary Veins
Saphenous Vein
Mitral Valve Insufficiency
Echocardiography
Aorta
Arteries
Transplants

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Giant coronary artery aneurysm after takeuchi repair for anomalous left coronary artery from the pulmonary artery. / Dunlay, Shannon M; Bonnichsen, Crystal R.; Dearani, Joseph A.; Warnes, Carole A.

In: American Journal of Cardiology, Vol. 113, No. 1, 01.01.2014, p. 193-195.

Research output: Contribution to journalArticle

Dunlay, Shannon M ; Bonnichsen, Crystal R. ; Dearani, Joseph A. ; Warnes, Carole A. / Giant coronary artery aneurysm after takeuchi repair for anomalous left coronary artery from the pulmonary artery. In: American Journal of Cardiology. 2014 ; Vol. 113, No. 1. pp. 193-195.
@article{6597fe7593534e508891ce9cbb85b7db,
title = "Giant coronary artery aneurysm after takeuchi repair for anomalous left coronary artery from the pulmonary artery",
abstract = "A 33-year-old woman with an anomalous left coronary artery arising from the pulmonary artery who had undergone Takeuchi repair at age 7 years presented for evaluation. The Takeuchi procedure creates an aortopulmonary window and an intrapulmonary tunnel that baffles the left coronary artery to the aorta. A mediastinal mass was identified as a giant aneurysm of the left coronary artery resulting in compression of the pulmonary artery and left upper pulmonary vein. The patient underwent open repair with patch closure at the aortic entrance of the left coronary Takeuchi repair and resection and evacuation of the aneurysm. A saphenous vein graft to the left anterior descending artery was performed. Postoperative echocardiography demonstrated normal left ventricular function. This is the first reported case of giant aneurysm formation after Takeuchi repair. The reported complications have included the development of pulmonary artery stenosis at the intrapulmonary baffle, baffle leak, decreased left ventricular function, and mitral regurgitation. In conclusion, late complications of the Takeuchi procedure are common, underscoring the importance of lifelong follow-up at a center with experience in treating coronary anomalies.",
author = "Dunlay, {Shannon M} and Bonnichsen, {Crystal R.} and Dearani, {Joseph A.} and Warnes, {Carole A.}",
year = "2014",
month = "1",
day = "1",
doi = "10.1016/j.amjcard.2013.08.056",
language = "English (US)",
volume = "113",
pages = "193--195",
journal = "American Journal of Cardiology",
issn = "0002-9149",
publisher = "Elsevier Inc.",
number = "1",

}

TY - JOUR

T1 - Giant coronary artery aneurysm after takeuchi repair for anomalous left coronary artery from the pulmonary artery

AU - Dunlay, Shannon M

AU - Bonnichsen, Crystal R.

AU - Dearani, Joseph A.

AU - Warnes, Carole A.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - A 33-year-old woman with an anomalous left coronary artery arising from the pulmonary artery who had undergone Takeuchi repair at age 7 years presented for evaluation. The Takeuchi procedure creates an aortopulmonary window and an intrapulmonary tunnel that baffles the left coronary artery to the aorta. A mediastinal mass was identified as a giant aneurysm of the left coronary artery resulting in compression of the pulmonary artery and left upper pulmonary vein. The patient underwent open repair with patch closure at the aortic entrance of the left coronary Takeuchi repair and resection and evacuation of the aneurysm. A saphenous vein graft to the left anterior descending artery was performed. Postoperative echocardiography demonstrated normal left ventricular function. This is the first reported case of giant aneurysm formation after Takeuchi repair. The reported complications have included the development of pulmonary artery stenosis at the intrapulmonary baffle, baffle leak, decreased left ventricular function, and mitral regurgitation. In conclusion, late complications of the Takeuchi procedure are common, underscoring the importance of lifelong follow-up at a center with experience in treating coronary anomalies.

AB - A 33-year-old woman with an anomalous left coronary artery arising from the pulmonary artery who had undergone Takeuchi repair at age 7 years presented for evaluation. The Takeuchi procedure creates an aortopulmonary window and an intrapulmonary tunnel that baffles the left coronary artery to the aorta. A mediastinal mass was identified as a giant aneurysm of the left coronary artery resulting in compression of the pulmonary artery and left upper pulmonary vein. The patient underwent open repair with patch closure at the aortic entrance of the left coronary Takeuchi repair and resection and evacuation of the aneurysm. A saphenous vein graft to the left anterior descending artery was performed. Postoperative echocardiography demonstrated normal left ventricular function. This is the first reported case of giant aneurysm formation after Takeuchi repair. The reported complications have included the development of pulmonary artery stenosis at the intrapulmonary baffle, baffle leak, decreased left ventricular function, and mitral regurgitation. In conclusion, late complications of the Takeuchi procedure are common, underscoring the importance of lifelong follow-up at a center with experience in treating coronary anomalies.

UR - http://www.scopus.com/inward/record.url?scp=84890351365&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84890351365&partnerID=8YFLogxK

U2 - 10.1016/j.amjcard.2013.08.056

DO - 10.1016/j.amjcard.2013.08.056

M3 - Article

VL - 113

SP - 193

EP - 195

JO - American Journal of Cardiology

JF - American Journal of Cardiology

SN - 0002-9149

IS - 1

ER -