Anomalous Origin of Left Main Coronary Artery from Pulmonary Artery (alcapa)
نویسنده
چکیده
Anomalous origin of left main coronary artery from pulmonary artery (ALCAPA) is a very rare congenital anomaly, reported in less than 0.5% of all the congenital heart diseases. Left untreated, majority of the patients die in infancy of myocardial ischemia. We report a case with this anomaly, presented in early infancy with progressive dyspnoea, feeding difficulty and cardiomagaly on X-ray. The diagnosis was made on echocardiography and ECG. The baby is surviving on medications, parents having refused the surgical option.
منابع مشابه
Different Presentation of Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adults: Case Reports
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital cardiac malformation. We report three cases of ALCAPA who survived to adulthood. The first case was a 51-year-old woman who complained of typical chest pain that was diagnosed with ALCAPA using cardiac catheterization and coronary computed tomographic angiography (CTA). The second case was a 30-...
متن کاملThe Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA): a Case Series and Brief Review
Background Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital cardiovascular defect that occurs in approximately 1/300 000 live births or 0.5% of children with congenital heart disease. There are two types of ALCAPA syndrome: the infant type and the adult type. The most infants experience myocardial infarction and congestive heart failure, and approximately 9...
متن کاملAnomalous Origin of Left Coronary Artery from Main Pulmonary Artery (ALCAPA) Who Underwent Two Coronary System Repair with a Novel Technique
We report clinical, CT, invasive coronary angiography and intra-operative findings of a symptomatic elderly man with anomalous origin of left coronary artery from pulmonary artery (ALCAPA). ALCAPA is a rare syndrome with anomalous origin of left main coronary artery (LMCA) from main pulmonary artery (MPA). Survival into adulthood is rare and our case is probably the oldest survivor who has unde...
متن کاملAntegrade flow in Anomalous Left Coronary Artery from Pulmonary Artery: Clinical implications
Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually presents in childhood. It results in left ventricular (LV) ischemia with resulting LV dysfunction. This ischemia results from retrograde flow into the pulmonary artery which can act as a coronary steal. We here report antegrade flow detected in ALCAPA caused by severe p...
متن کاملThe caveats in the diagnosis of anomalous origin of left coronary artery from pulmonary artery (ALCAPA)
Anomalous origin of left coronary artery from pulmonary artery (ALCAPA) is an infrequent, well described, but important anomaly of the coronary origin. Early diagnosis and prompt surgical treatment of the disease can be life saving. However, there are several potential sources of error in the seemingly simple stereotype diagnostic pattern. We report a case of ALCAPA and allude to some of the ca...
متن کامل