Anomalous Left Circumflex Coronary Artery from Pulmonary Artery (ALXCAPA): an unusual cause of exertional chest pain in an octogenarian

Gupta, Mohit; Palleda, Girish M.; Gupta, Abhishek; Batra, Vishal

doi:10.1093/ehjcr/ytaa054

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…The true prevalence may be higher, as many subclinical cases never receive warrant medical attention. 1 The left circumflex coronary artery arising either from the right sinus of Valsalva or directly from the right coronary artery is the most common coronary artery anomaly. Originating from the pulmonary artery is a rare finding 2 and may affect the left coronary artery (ALCAPA), the left anterior descending artery (ALADAPA), or, infrequently, the left circumflex coronary artery [anomalous origin of the left circumflex artery from the pulmonary artery (ACXAPA)], as reported here.…”

Section: Introductionmentioning

confidence: 99%

Anomalous origin of the left circumflex artery from the pulmonary artery associated with non-compaction of the left ventricle: usefulness of multimodality imaging—a case report

Tom

Willoteaux

Alain

et al. 2023

European Heart Journal - Case Reports

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Introduction Anomalous origin of the left circumflex artery from the pulmonary artery (ACXAPA) is a very rare coronary anomaly. Only a few cases have been reported until today, from incidental findings to autopsy report after sudden cardiac death. Case We report here for the first time the case of a man, previously monitored for asymptomatic left ventricular non-compaction cardiomyopathy (LVNC), who presented with non-ST myocardial infarction, and was diagnosed with ACXAPA. Complementary tests confirmed ischemia in the corresponding territory and the patient was referred to surgery for reimplantation of the circumflex artery. Discussion LVNC is a rare congenital cardiomyopathy whose association with coronary anomalies, but not with ACXAPA, had previously been described until now. A related embryological origin could potentially explain this association. The management of a coronary anomaly should indicate dedicated multimodal cardiac imaging in order to not disregard the association with an underlying cardiomyopathy.

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Section: Introductionmentioning

confidence: 99%

Anomalous origin of the left circumflex artery from the pulmonary artery associated with non-compaction of the left ventricle: usefulness of multimodality imaging—a case report

Tom

Willoteaux

Alain

et al. 2023

European Heart Journal - Case Reports

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“…Surgical therapy is proposed for symptoms or to mitigate the risk for arrhythmia 3,6 . An expectative approach is justified in older patients 7,8 …”

Section: Introductionmentioning

confidence: 99%

ACARPA, a rare case of ALCAPA

Martens

Demulier

Bové

et al. 2021

Journal of Cardiac Surgery

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An anomalous circumflex coronary artery arising from the right pulmonary artery is very rare. Clinical presentation varies from absence of symptoms to arrhythmia and sudden cardiac death. Since prevalence is very low, no definite therapy has been delineated yet. A 19-year-old patient, previously treated for a vascular ring and mitral valve stenosis, was diagnosed with this anomaly through echocardiography revealing collateral coronary flow, with confirmation of this coronary anomaly on subsequent computed tomography examination. To alleviate the burden for arrhythmia in this young patient, he was successfully treated with surgical reimplantation followed by an uneventful recovery.

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Anomalous Left Circumflex Coronary Artery from Pulmonary Artery (ALXCAPA): an unusual cause of exertional chest pain in an octogenarian

Cited by 2 publications

References 4 publications

Anomalous origin of the left circumflex artery from the pulmonary artery associated with non-compaction of the left ventricle: usefulness of multimodality imaging—a case report

Anomalous origin of the left circumflex artery from the pulmonary artery associated with non-compaction of the left ventricle: usefulness of multimodality imaging—a case report

ACARPA, a rare case of ALCAPA

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