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Unfavorable coronary remodeling in operated adults may lead to late coronary thrombotic occlusions. Two adults with markedly dilated tortuous coronary arteries showed variable remodeling after corrective intervention that impacted outcomes on follow-up. We stress the need for lifelong angiographic surveillance in older patients.<\/jats:p>","DOI":"10.4103\/apc.apc_45_23","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T01:37:14Z","timestamp":1694137034000},"page":"219-222","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Life long surveillance is warranted as coronary artery remodels variably after treatment of adult patients with anomalous left coronary artery origin from pulmonary artery"],"prefix":"10.4103","volume":"16","author":[{"given":"Pramod","family":"Sagar","sequence":"first","affiliation":[{"name":"Department of Paediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kothandam","family":"Sivakumar","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,9,8]]},"reference":[{"key":"R1-20240901","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1002\/clc.20848","article-title":"Anomalous origin of the left coronary artery from the pulmonary artery in adults: A comprehensive review of 151 adult cases and a new diagnosis in a 53-year-old woman","volume":"34","author":"Yau","year":"2011","journal-title":"Clin Cardiol"},{"key":"R2-20240901","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1111\/j.1540-8191.1995.tb00617.x","article-title":"Anomalous origin of the left coronary artery from the pulmonary artery in adults","volume":"10","author":"Alexi-Meskishvili","year":"1995","journal-title":"J Card Surg"},{"key":"R3-20240901","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1016\/0002-8703(79)90248-5","article-title":"Surgical treatment of anomalous left coronary artery from pulmonary artery: Follow-up in teenagers and adults","volume":"98","author":"Wilson","year":"1979","journal-title":"Am Heart J"},{"key":"R4-20240901","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1016\/S0003-4975(00)01179-6","article-title":"Emergency ligation of anomalous left coronary artery arising from the pulmonary artery","volume":"69","author":"Kreutzer","year":"2000","journal-title":"Ann Thorac Surg"},{"key":"R5-20240901","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1017\/S1047951120003418","article-title":"Transcatheter occlusion of an anomalous origin of left coronary artery from pulmonary artery in an adult as an alternative to surgery","volume":"31","author":"Sagar","year":"2021","journal-title":"Cardiol Young"},{"key":"R6-20240901","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/s13019-020-1048-y","article-title":"Adult ALCAPA: From histological picture to clinical features","volume":"15","author":"Kubota","year":"2020","journal-title":"J Cardiothorac Surg"},{"key":"R7-20240901","doi-asserted-by":"crossref","first-page":"e31","DOI":"10.1016\/j.jcct.2022.02.009","article-title":"Pre and post-operative CT imaging of adult ALCAPA: Reverse left ventricular remodeling and regression of intracoronary collateral network","volume":"16","author":"Allen","year":"2022","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"R8-20240901","doi-asserted-by":"crossref","first-page":"e29","DOI":"10.1016\/j.ijcard.2006.11.075","article-title":"Successful percutaneous treatment of anomalous left coronary artery from pulmonary artery","volume":"122","author":"Collins","year":"2007","journal-title":"Int J Cardiol"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_45_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:15:35Z","timestamp":1787166935000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_45_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_45_23","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5]]},"assertion":[{"value":"2023-03-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}