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Updated: Apr 16, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

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[Adult congenital aortic coarctaion;report of a case]

Masafumi Kudo1, Kozo Kaneda, Shinya Yokoyama

  • 1Department of Cardiovascular Surgery, Cardiovascular Center, Nara Hospital, Kinki University Faculty of Medicine, Ikoma, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|March 7, 2015
PubMed

Insights

This study presents a successful surgical repair of adult congenital aortic coarctation using prosthetic graft replacement. Total prosthetic replacement is recommended to prevent paradoxical hypertension post-surgery.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Vascular Surgery

Background:

  • Adult congenital aortic coarctation is a rare condition often presenting with symptoms like dyspnea on effort.
  • Hypertension is a common comorbidity, with a history dating back to young adulthood in this case.
  • Computed tomography (CT) is crucial for diagnosing aortic coarctation and visualizing collateral circulation.

Observation:

  • The patient presented with dyspnea on effort, indicative of significant cardiovascular compromise.
  • CT imaging revealed extensive collateral vessels supplying the descending aorta, highlighting the severity of the coarctation.
  • The coarctation was surgically addressed via left thoracotomy with partial cardiopulmonary bypass.

Findings:

  • Successful total replacement of the aortic coarctation with a prosthetic graft was achieved.
  • The postoperative recovery was uneventful, with no immediate complications reported.
  • The surgical technique aimed to mitigate risks associated with postoperative paradoxical hypertension.

Implications:

  • Total prosthetic replacement appears to be a preferred method for managing adult congenital aortic coarctation.
  • This approach may help prevent or reduce the incidence of paradoxical hypertension following surgical repair.
  • Further research into long-term outcomes of prosthetic graft replacement for aortic coarctation is warranted.

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