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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
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Subaortic membrane in an adult patient with coronary artery disease

Huseyin Okutan1, Ali Kutsal

  • 16 Mart Ataturk C. Istiklal M. Oztunc A. No:1 D:4 , 32050 Isparta, Turkey. okutanh@yahoo.com

Saudi Medical Journal
|March 10, 2005
PubMed

Insights

This case study details the successful surgical treatment of a subaortic membrane and coronary artery disease in a 48-year-old man. The patient experienced an uneventful recovery after membrane excision and bypass surgery.

Area of Science:

  • Cardiovascular Surgery
  • Congenital Heart Disease
  • Interventional Cardiology

Background:

  • Subaortic membrane (SAM) is a congenital heart defect causing left ventricular outflow tract obstruction.
  • Coronary artery disease (CAD) can coexist with SAM, complicating surgical management.
  • This case highlights the combined surgical approach for these conditions.

Observation:

  • A 48-year-old male presented with a cardiac murmur detected during routine examination.
  • Symptoms included dizziness during exercise, suggestive of cardiac compromise.
  • Diagnostic workup revealed coexisting subaortic membrane and coronary artery disease.

Findings:

  • Complete surgical excision of the subaortic membrane was performed.
  • Coronary artery bypass grafting using the left internal thoracic artery to the left anterior descending artery was successfully completed.
  • The patient demonstrated a favorable short-term outcome post-intervention.

Implications:

  • Surgical management of combined SAM and CAD is feasible and effective.
  • A combined approach can resolve outflow tract obstruction and restore coronary blood flow.
  • This case underscores the importance of comprehensive cardiac evaluation in patients with congenital anomalies.

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