Anomalous origin of left coronary artery in an adult
نویسندگان
چکیده
Department of Cardiology, Saveetha Medical College and Hospital, Kancheepuram, India, in December 2012, with a history of exertional chest pain relieved by rest for the past three months. Electrocardiogram showed ST/T wave changes in leads I, V6 and AVL suggesting lateral ischaemia. No significant past medical or surgical history was present. Transthoracic echocardiography showed mildly decreased left ventricular ejection fraction (45%) with abnormal septal doppler flow pattern and reverse flow in pulmonary artery. No regional wall motion abnormality was detected in resting echocardiography. Stress test was inconclusive. The patient was suspected to have ALCAPA (anomalous origin of the left coronary artery from the pulmonary artery) hence 128 slice CT coronary angiography was requested. Electrocardiographically-gated multidector computed tomographic (CT) angiography showed Indian J Med Res 138, October 2013, pp 566-567
منابع مشابه
The 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...
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