Anomalous Left Coronary Artery Arising from the Pulmonary Artery (ALCAPA): The Critically Important Role of Color Flow Doppler in Identifying a Rare Intramural Course

Harrison, David J.; Kane, David; Emani, Sitaram M.; Sanders, Stephen P.; Miller, Thomas A.; Marx, Gerald R.

doi:10.1016/j.case.2022.02.001

Cited by 1 publication

(3 citation statements)

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“…Symptoms range from fatigue, dyspnea, malignant ventricular arrhythmias resulting from myocardial scarring or chest pain, and exercise intolerance to sudden cardiac death due to acute ischemia during exercise. , 9,10 Here we report childhood onset anomaly of left coronary artery origin from the left main coronary artery pulmonary artery presenting with mild symptoms.…”

Section: Introductionmentioning

confidence: 86%

“…Of all articles, 31 cases report articles were obtained related to anomalous origin of left coronary artery from the pulmonary artery of left main coronary artery, then 9 article were ALCAP in pediatri. [10][11][12][13][14][15][16][17][18][19][20][21][22] All of 9 articles were appraised using the Joanna Briggs Institute Appraisal Checklist for Case Report and included in this evidence-based case report (Figure 6).…”

Section: Methodsmentioning

confidence: 99%

“…Eight cases reported were all survived with some complication such as baffle leak (38%), decrease systolic function (25%), mitral valve regurgitation (38%) and need reoperation (38%). 10 Echocardiography (n = 10), computed tomography (n = 5), and coronary angiography (n = 4). Echocardiography showed mean left ventricular ejection fraction of 45% ± 10% and mean fractional shortening of 21% ± 7%.…”

Section: Disscussionmentioning

confidence: 99%

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Anomalous Origin of Left Coronary Artery from The Pulmonary Artery of Left Main Coronary Artery (ALCAPA) In A Pediatric Patient: A Rare Case Report

Widyaningsih,

Gunawijaya,

Yanti

2023

International Journal of Scientific Advances

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Background: The anomalous origin of the left coronary artery (LCA) from the pulmonary artery (ALCAPA) is a rare congenital anomaly due to abnormal division of the conotruncus into the aorta and pulmonary artery or persistence of the pulmonary bud with involution of the aortic bud that forms the origin of the coronary artery on embryogenesis. Only a small portion of cases survive more than two months of age. The survived cases can appear as asymptomatic, symptomatic, sudden cardiac death of adulthood ALCAPA. Case Description: We present an 8-year-old boy with symptomatic adulthood type ALCAPA. Preliminary chest x-ray examination found cardiomegaly. Unspecific findings were found on Echocardiography including fistula right coronary artery (RCA) and left coronary artery (LCA), with mitral regurgitation, moderate tricuspid regurgitation, and cardiomyopathy. Catheterization confirmed the left coronary artery from the pulmonary artery (ALCAPA) of the left main coronary artery (LMCA) origin. Additional Cardiac computed tomography angiography (CTA) demonstrated the LM originates from the pulmonary trunk accompanied by the presence of collaterals between the RCA and LAD and dilatation and turbulence of the RCA. Conclusion: Early diagnosis and prompt surgical intervention can give excellent results and lead to gradual recovery.

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Section: Introductionmentioning

confidence: 86%

Section: Methodsmentioning

confidence: 99%

Section: Disscussionmentioning

confidence: 99%

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