ДИАГНОСТИЧЕСКИЕ ВОЗМОЖНОСТИ В ОЦЕНКЕ ОТДАЛЕННЫХ РЕЗУЛЬТАТОВ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ АНОМАЛЬНОГО ОТХОЖДЕНИЯ ЛЕВОЙ КОРОНАРНОЙ АРТЕРИИ ОТ ЛЕГОЧНОЙ АРТЕРИИ

Abstract

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) syndrome is a rare congenital coronary artery anomaly and a complex congenital heart defect (CHD) condition. According to the bibliographical sources a good result is noted with the restoration of the heart size and its functional state after the CHD correction. Nevertheless, after a radical correction of the defect, a number of problems may remain, such as: the occurrence of malignant arrhythmias, sudden cardiac death, decompensated heart failure (HF), coronary artery stenosis that require medical or repeated surgical treatment. The detection of even minor deviations in the functional state of the myocardium in the population of patients with ALCAPA is of great clinical importance, and this category of patients requires the regular and dynamic follow-up. The evolution of diagnostic research methods, such as biomarkers of heart failure, echocardiography with tissue myocardial Doppler and speakle tracking, magnetic resonance imaging, single photon emission computed tomography, positron emission tomography and stress testing, provide opportunity to assess the functional and anatomical recovery of the left ventricular myocardium in detail and to identify the signs of latent HF in the late postoperative period. The purpose of the research was to provide an up-to-date review of the data on the diagnostic and prognostic significance of laboratory and instrumental research methods in assessing the long-term results of surgical treatment of the anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) syndrome.