What is included in postoperative care following surgery to repair anomalous left coronary artery from the pulmonary artery (ALCAPA)?

Updated: Aug 10, 2020
  • Author: Mary C Mancini, MD, PhD, MMM; Chief Editor: Syamasundar Rao Patnana, MD  more...
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Answer

Diuretics, and afterload reduction may be necessary until there is significant improvement in left ventricular systolic and diastolic function with resolution of mitral valve insufficiency. These medications improve cardiac output and eliminate the preoperative symptoms of congestive heart failure.

Although unusual, there remains a risk of cardiac dysrhythmia secondary to preoperative myocardial ischemia or infarction. Monitor continuously in the immediate postoperative period. [4, 20, 21, 22]

The clinical status of the patient, in relation to residual CHF symptoms, determines the frequency of postoperative outpatient follow-up visits.

Most patients do not require frequent cardiac evaluation following surgical revascularization once ventricular function and mitral valve insufficiency is dramatically improved. However, follow-up reevaluation, although infrequent should be performed.


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