January 23, 2007 14:09 ET

ORLive Presents: Repair: Anomalous Coronary Artery off the Pulmonary Artery -- Treatment of a Previously Undetected Congenital Heart Defect

Live Webcast: From Montefiore Medical Center: February 7, 2007, 7:00 PM EST (February 8, 2007 at 00:00 UTC)

BRONX, NY -- (MARKET WIRE) -- January 23, 2007 -- Montefiore-Einstein Heart Center in the Bronx, New York will present on a webcast of a panel discussion concerning a repair of an anomalous coronary artery off the pulmonary artery (ALCAPA) on a ten year old girl.

This procedure was performed on December 11, 2006 by Dr. Sam Weinstein, Director of Pediatric Cardiothoracic Surgery at Montefiore. The panel discussion will be moderated by Dr. Robert Michler, Chairman of the Department of Cardiothoracic Surgery at Montefiore-Einstein Heart Center, and a panel of other experts including Dr. Weinstein. They will be joined by a live audience of surgeon-colleagues and cardiologists. The webcast will feature video portions of the procedure as well as detailed descriptions of the techniques used.

If undetected, this congenital defect can result in death in up to 90% of patients within the first year of life. In this particular case, the child developed enough collateral blood flow to the heart to reach the age of 10.

"This particular girl is an interesting case in that she's ten years old. Ninety percent of children with this defect will die if undiagnosed within the first year of life. For whatever reason, she was able to develop an extra amount of blood sources to her left heart through what we would call collateral vessels, and she survived to be ten years of age," says Dr Weinstein.

Due to the difficult location of the artery, an intrapulmonary artery baffle was required to redirect oxygenated blood into the vessel from the aorta through an aortopulmonary window. This technique is called the Takeuchi repair.

Dr. Weinstein explains, "Because the vessel itself came off so far away from the aorta, we had to create a tunnel inside the aorta to the pulmonary artery bringing the red oxygenated blood over to that vessel."

The patient has since been discharged and is doing well postoperatively.

The Montefiore Einstein Heart Center has a rich history of offering distinguished leadership and innovation in the treatment of all kinds of heart disorders. In fact, this year Montefiore celebrates its 50th year of performing open heart surgery. Montefiore also pioneered breakthrough pacemaker technology and was the first medical center to implant a pacemaker in a human heart as well as the first hospital to install a stent in an aortic aneurism.

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