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Table 2 Operative details of patients who underwent ALCAPA repair

From: The outcome of surgical repair of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) in infants

Case

Operation procedure

Surgery time (min)

CPB time (min)

Ischemic time (min)

Operative events

1

Takeuchi procedure (LCA augmentation by bovine pericardium graft then anastomosed to the aorta)

260

157

111

2

LCA reimplantation to aorta, patch PA repair

100

52

27

3

LCA reimplantation to the aorta, patch PA repair, and direct VSD closure

176

129

70

Arrested for 8 min.

Hemodynamic instability with high lactate

High doses of inotropes (dobutamine and epinephrine)

4

LCA reimplantation to the aorta, patch PA repair, and MV repair

180

118

50

Hypotension, bradycardia, and bleeding

Blood transfusion

Arrested and CPR was done for 2 min

5

Takeuchi procedure

101

73

24

  1. ALCAPA anomalous left coronary artery from the pulmonary artery, CPB cardiopulmonary bypass, CPR cardiopulmonary resuscitation, LCA left coronary artery, MV mitral valve, PA pulmonary artery, VSD ventricular septal defect