scholarly journals Anomalous Left Coronary Artery from the Pulmonary Artery: The Role of Multimodal Imaging—A Case Report

2020 ◽  
Vol 10 (2) ◽  
pp. 25-32
Author(s):  
Mita Singh ◽  
Ana Teresa Gomes ◽  
Moad El-Haddad ◽  
Abdel Khalid Saidmeerasah ◽  
Rashid Iqbal
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Multimodal Imaging ◽  
Left Coronary Artery ◽  
Surgical Intervention ◽  
Collateral Flow ◽  
Anomalous Left Coronary Artery ◽  
Anomalous Left Coronary

Anomalous Left Coronary Artery from the Pulmonary Artery (ALCAPA) is a rare coronary artery anomaly which accounts for 0.25–0.5% of all congenital cardiac diseases, where most die within the first year of life. We present a case report of a 50-year-old lady who presented to hospital with persistent palpitations. Her admission electrocardiogram found her to be in Atrial Fibrillation (AF). She was rate-controlled and subsequently discharged. Despite that, she represented with further episodes of AF and was referred for an outpatient transthoracic echocardiogram. This revealed a dilated right coronary artery, retrograde flow in the left coronary artery and collateral flow in the myocardium. To investigate, the patient had undergone further imaging which confirmed the diagnosis. As such, she was later shortlisted for surgical intervention. Conclusively, our case exemplifies the role of multimodal imaging to identify the features of ALCAPA and may be useful for the purposes of surgical intervention.

Pre-operative identification of an anomalous left coronary artery from the pulmonary artery in association with tetralogy of Fallot and an aortopulmonary window

2013 ◽  
Vol 24 (1) ◽  
pp. 170-171 ◽  
Author(s):  
Colin J. McMahon ◽  
Terence Prendiville ◽  
Lars Nolke
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Tetralogy Of Fallot ◽  
Left Coronary Artery ◽  
Surgical Intervention ◽  
Aortopulmonary Window ◽  
Anomalous Left Coronary Artery ◽  
Arterial Anomaly ◽  
Operative Assessment ◽  
Anomalous Left Coronary

AbstractA newborn baby girl was diagnosed with tetralogy of Fallot and an aortopulmonary window. At 3 weeks of age, the coexistent diagnosis of an anomalous left coronary artery from the pulmonary artery was made. Initial surgical intervention included a Takeuchi baffle of the left coronary artery, closure of the aortopulmonary window, and placement of a right Blalock–Taussig shunt. Complete repair was undertaken at 12 months of age. Close pre-operative assessment of the coronary arterial anomaly is crucial in patients with an aortopulmonary window and tetralogy of Fallot.

scholarly journals Anomalous Left Coronary Artery Connected to the Pulmonary Artery in a 15-Year-Old Girl: Case Report and Discussion on Secondary Prevention of Sudden Death

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Jérémy Laïk ◽  
Virginie Fouilloux ◽  
Philippe Aldebert ◽  
Linda Koutbi ◽  
Jérôme Hourdain ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Ventricular Tachycardia ◽  
Case Report ◽  
Coronary Artery ◽  
Sudden Death ◽  
Pulmonary Artery ◽  
Left Coronary Artery ◽  
Anomalous Left Coronary Artery ◽  
Cardioverter Defibrillator ◽  
Anomalous Left Coronary

Background. Anomalous left coronary artery connected to the pulmonary artery (ALCAPA) is a rare congenital heart disease. Adaptive development of sufficient heterocoronary collaterality in the newborn may allow survival to a later age. In older children or adults, malignant ventricular arrhythmias can reveal the disease. Case Report. A 15-year-old girl was referred to the local hospital after a resuscitated out-of-hospital cardiac arrest. CT scan and coronary angiography revealed an ALCAPA. Direct aortic reimplantation of the left coronary artery was performed. Postoperative ECG monitoring showed short episodes of nonsustained ventricular tachycardia. Transthoracic echocardiography and cardiac MRI revealed subendocardial fibrosis of the anterolateral papillary muscle. Beta-blockade therapy was initiated at first intention. After hospital discharge, the patient reported several fainting without loss of consciousness. Considering sudden death nonrelated to effort, episodes of nonsustained ventricular tachycardia, and areas of myocardial fibrosis, the patient underwent subcutaneous cardioverter-defibrillator implantation. 6-month follow-up is satisfactory without clinical or rhythmic abnormalities. Discussion. Indication for surgical correction of ALCAPA is well defined, but rhythmic secondary prevention after resuscitated cardiac arrest is less consensual. Cardiac MRI is an essential tool in the identification of a potential rhythmic substrate and should be taken into account in the discussion of a preventive cardioverter-defibrillator implantation.

Management of anomalous left coronary artery from pulmonary artery in an adult patient - a case report

2007 ◽  
Vol 10 (2) ◽  
pp. 142 ◽  
Author(s):  
Gaurab Maitra ◽  
Saibal Roychowdhury ◽  
Somnath Ganguli ◽  
Susmit Bhattacharya ◽  
Ajay Kaul
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Adult Patient ◽  
Left Coronary Artery ◽  
Anomalous Left Coronary Artery ◽  
Anomalous Left Coronary
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