scholarly journals Case Report: ALCAPA syndrome: successful repair with an anatomical and physiological alternative surgical technique

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 1680
Author(s):  
Luis Gustavo Vilá Mollinedo ◽  
Andrés Jaime Uribe ◽  
José Luis Aceves Chimal ◽  
Roberto Pablo Martínez-Rubio ◽  
Karen Patricia Hernández-Romero
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Exertional Dyspnoea ◽  
Left Main ◽  
Anomalous Left Coronary Artery ◽  
Adult Age ◽  
Paroxysmal Tachycardia ◽  
Congenital Cardiac Disease ◽  
Infarction Heart ◽  
Anomalous Left Coronary

Anomalous left coronary artery from the pulmonary artery, or ALCAPA syndrome, is a rare congenital cardiac disease that can cause myocardial infarction, heart failure and even death in paediatric patients. Only few untreated patients survive until adult age. Here we present the case of a 33-year-old female patient with paroxysmal tachycardia, syncope and mild exertional dyspnoea. She was diagnosed with ALCAPA syndrome and underwent surgical correction with an alternative technique of left main coronary artery extension to the aorta.

scholarly journals Case Report: ALCAPA syndrome: successful repair with an anatomical and physiological alternative surgical technique

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 1680 ◽  
Author(s):  
Luis Gustavo Vilá Mollinedo ◽  
Andrés Jaime Uribe ◽  
José Luis Aceves Chimal ◽  
Roberto Pablo Martínez-Rubio ◽  
Karen Patricia Hernández-Romero
Keyword(s):  
Coronary Artery ◽  
Cardiac Disease ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Anomalous Left Coronary Artery ◽  
Adult Age ◽  
Paroxysmal Tachycardia ◽  
Congenital Cardiac Disease ◽  
Infarction Heart ◽  
Anomalous Left Coronary

Anomalous left coronary artery from the pulmonary artery, or ALCAPA syndrome, is a rare congenital cardiac disease that can cause myocardial infarction, heart failure and even death in paediatric patients. Only few untreated patients survive until adult age. Here we present the case of a 33-year-old female patient with paroxysmal tachycardia, syncope and little effort dyspnoea. She was diagnosed with ALCAPA syndrome and underwent surgical correction with an alternative technique of left main coronary artery extension to the aorta.

scholarly journals Anomalous left coronary artery from pulmonary artery in an adult

2019 ◽  
Vol 7 (5) ◽  
pp. 1968
Author(s):  
Anil Baroopal ◽  
Rohit Mathur ◽  
Sanjeev Sanghvi ◽  
Swati Mahajan
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Left Coronary Artery ◽  
Cardiac Anomaly ◽  
Exertional Dyspnoea ◽  
Anomalous Left Coronary Artery ◽  
Congenital Cardiac Anomaly ◽  
Infarction Heart ◽  
Anomalous Left Coronary

Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital cardiac anomaly that can cause myocardial infarction, heart failure and even death in paediatric patients. Only few untreated patients survive till adulthood. Here we present the case of a 28-year-old lady with exertional dyspnoea and chest pain who was diagnosed to have ALCAPA.

Echocardiographic Diagnosis of Left Main Coronary Artery Atresia

2016 ◽  
Vol 8 (1) ◽  
pp. 101-102 ◽  
Author(s):  
Justin D. Weigand ◽  
Srinath Gowda ◽  
Richard Lorber ◽  
Nitin Madan
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Left Coronary Artery ◽  
Left Main Coronary Artery ◽  
Imaging Features ◽  
Coronary Ostium ◽  
Left Main ◽  
Anomalous Left Coronary Artery ◽  
Anomalous Left Coronary

This case describes an infantile presentation of left main coronary artery atresia (LMCAA), which involves complete absence of the left coronary ostium and left main coronary artery. The echocardiographic features of LMCAA that assist in making this diagnosis are detailed. Important imaging features that distinguish LMCAA from anomalous left coronary artery from the pulmonary artery are highlighted.

scholarly journals Incidental Anomalous Left Coronary Artery in a Transplanted Heart

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Sri Harsha Patlolla ◽  
Saraschandra Vallabhajosyula ◽  
Malcolm R. Bell
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Left Main Coronary Artery ◽  
Cardiac Anomaly ◽  
Donor Heart ◽  
Anomalous Left Coronary Artery ◽  
Congenital Cardiac Anomaly ◽  
The Right ◽  
Anomalous Coronary ◽  
Anomalous Left Coronary

Anomalous coronary artery is an uncommon congenital cardiac anomaly that is often detected incidentally on coronary angiography. It has rarely been reported in the donor heart of patients who have undergone cardiac transplantation. Here, we report a case of a 72-year-old patient who received a second heart transplant and has been identified to have an anomalous left main coronary artery originating from the right coronary sinus on postoperative coronary angiography.

Anomalous left coronary artery from the right coronary cusp with gene positive apical hypertrophic cardiomyopathy: a case report and literature review

2013 ◽  
Vol 24 (3) ◽  
pp. 397-402 ◽  
Author(s):  
Justin Georgekutty ◽  
Russell R. Cross ◽  
Joanna B. Rosenthal ◽  
Deneen M. Heath ◽  
Pranava Sinha ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Hypertrophic Cardiomyopathy ◽  
The United States ◽  
Left Main ◽  
Anomalous Left Coronary Artery ◽  
Coronary Cusp ◽  
The Right ◽  
Right Coronary Cusp ◽  
Anomalous Coronary ◽  
Anomalous Left Coronary

AbstractIn the United States, hypertrophic cardiomyopathy and coronary artery anomalies account for the leading two causes of sudden death in athletes. We present a case of a patient with an anomalous origin of the left main from the right coronary sinus with associated gene-confirmed hypertrophic cardiomyopathy. The patient underwent surgical repair with unroofing of the intramural portion of the left main coronary artery with a good result. We also review the reported cases in the medical literature describing this uncommon association between anomalous coronary artery origin and hypertrophic cardiomyopathy.

scholarly journals Unduly long left main (79 mm) coronary artery arising from right coronary sinus in a 64-year-old diabetic man

2019 ◽  
Vol 12 (7) ◽  
pp. e229815
Author(s):  
Santosh Kumar Sinha ◽  
Puneet Aggarwal ◽  
Mahmodula Razi ◽  
Vinay Krishna
Keyword(s):  
Coronary Artery ◽  
Coronary Sinus ◽  
Cardiac Death ◽  
Left Main Coronary Artery ◽  
Incidental Finding ◽  
Coronary Angiogram ◽  
Exertional Dyspnoea ◽  
Coronary Artery Anomalies ◽  
Left Main ◽  
Extensive Search

Coronary artery anomalies are usually an incidental finding on coronary angiogram. Most of them are benign, although few of them are malignant which may cause sudden cardiac death. A 64-year-old diabetic, hypertensive man underwent coronary angiography for evaluation of exertional dyspnoea, and angina which revealed an anomalous left main coronary artery (LMCA) arising from right coronary sinus which was unduly long (79 mm) but free from any disease. To the best of our knowledge after extensive search in literature, this is the longest LMCA to be ever reported. The patient was managed conservatively.

Unusual sudden cardiac death from an anomalous left coronary artery from the right sinus of Valsalva

2013 ◽  
Vol 24 (4) ◽  
pp. 732-734 ◽  
Author(s):  
Ram N. Bishnoi ◽  
Kristen N. McMillan ◽  
William R. Thompson
Keyword(s):  
Coronary Artery ◽  
Left Coronary Artery ◽  
Left Main Coronary Artery ◽  
Coronary Anomaly ◽  
Sinus Of Valsalva ◽  
Anomalous Left Coronary Artery ◽  
Congenital Cardiac Defects ◽  
The Right ◽  
Anomalous Left Coronary ◽  
Congenital Coronary Anomaly

AbstractA left coronary artery arising from the right sinus of Valsalva is a rare congenital coronary anomaly. We report a case of a 5-year-old boy with an anomalous left coronary artery from the right sinus of Valsalva whose presenting sign was cardiac arrest. There is no reported instance of a child <9 years of age without other congenital cardiac defects having died suddenly with this coronary anomaly. The transthoracic echocardiogram demonstrated normal origins of the coronary arteries, but on autopsy, an anomalous origin of the left main coronary artery from the right sinus of Valsalva was found.

scholarly journals Incidental Finding of the Anomalous Origin of Left Main Coronary Artery from Pulmonary Artery in an Adult Presenting with Arrhythmia-Induced Myocardial Ischemia

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Shantanu Patil ◽  
Mahek Shah ◽  
Brijesh Patel ◽  
Lohit Garg ◽  
Larry Jacobs ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Left Main Coronary Artery ◽  
Incidental Finding ◽  
Treatment Options ◽  
Cardiovascular Complications ◽  
Anomalous Origin ◽  
Left Main ◽  
Clinical Presentations ◽  
Infarction Heart

Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary anomaly with high mortality. It is associated with cardiovascular complications and is usually diagnosed soon after birth. Those who survive into adulthood can present with signs of myocardial infarction, heart failure, mitral regurgitation, severe pulmonary hypertension, or sudden cardiac death. We present a 53-year-old female presenting with atrial fibrillation and found to have an incidental diagnosis of ALCAPA who refused surgical correction. We also review the epidemiology, diagnosis, age-based clinical presentations, and treatment options for ALCAPA.

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