Lessons from a case of anomalous left coronary artery from pulmonary artery

Theodore, Sanjay; Sarma, Apurba Kumar; Neelakandhan, Kurur Sankaran

doi:10.1007/s12055-005-0039-x

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“…Theodore et al. reported the association of ALCAPA with a large PDA, ventricular septal defect and atrial septal defect in an infant who developed severe heart failure after ligation of PDA . ALCAPA was diagnosed by cardiac catheterization 4 years after PDA ligation and was repaired by saphenous vein bypass graft.…”

Section: Discussionmentioning

confidence: 99%

Anomalous Left Coronary Artery from the Pulmonary Artery with a Large Patent Ductus Arteriosus: Aversion of a Catastrophe

Aggarwal

Delius

Pettersen

2012

Congenital Heart Disease

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We present an infant who had an anomalous left coronary artery arising from the pulmonary artery (ALCAPA) and a large patent ductus arteriosus (PDA), who was diagnosed before a potentially catastrophic closure of PDA. In the presence of normal left ventricular function and the absence of coronary artery collaterals, it is difficult to diagnose ALCAPA. A disproportionate degree of left ventricular dilation and severity of mitral valve regurgitation relative to the degree of PDA shunt, and echogenic papillary muscles on an echocardiogram should raise a suspicion of coronary artery anomalies. The infant underwent surgical ligation of PDA with translocation of coronary arteries and had an uneventful recovery.

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Section: Discussionmentioning

confidence: 99%