Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Detected by Echocardiography in an Asymptomatic Young Athlete

2016 ◽  
Vol 19 (6) ◽  
pp. 259
Author(s):  
Tolga Demir ◽  
Mehmet Umit Ergenoglu ◽  
Ali Kubilay Korkut ◽  
Nursen Tanrikulu ◽  
Ergun Demirsoy
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Artery Bypass ◽  
Main Pulmonary Artery ◽  
Young Athlete ◽  
Anomalous Origin ◽  
First Year ◽  
Surgical Closure ◽  
Echocardiographic Examination ◽  
First Year Of Life

The anomalous origin of the coronary artery from the pulmonary artery (ALCAPA) is the most common congenital coronary artery anomaly. Up to 90% of patients die during the first year of life. It is unusual for an ALCAPA patient to survive to adulthood. We present a case of an asymptomatic young athlete with ALCAPA, in which the diagnosis was established by echocardiography during pre-participation physical evaluation. The patient underwent surgical closure of the left main coronary artery ostium through the inside of the main pulmonary artery and coronary artery bypass grafting. He was discharged after 6 days and remained well during follow-up visits. We emphasize the importance of echocardiographic examination during pre-participation cardiovascular screening in young athletic populations to avoid sudden death related to ALCAPA.

scholarly journals Anomalous Origin of Left Coronary Artery from Pulmonary Trunk in an Adult Patient –A Rare Occurrence

1970 ◽  
Vol 1 (1) ◽  
pp. 117-121
Author(s):  
AW Chowdhury ◽  
MA Muttalib ◽  
MA Baqui ◽  
S Dutta ◽  
MM Alam ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Left Coronary Artery ◽  
Left Main Coronary Artery ◽  
Pulmonary Trunk ◽  
Anomalous Origin ◽  
First Year ◽  
Coronary Anomalies ◽  
First Year Of Life ◽  
Sixth Decade

Anomalous origin of coronary arteries is a rare cause of cardiac disease. One of the very rare coronary anomalies is origin of left main coronary artery from pulmonary trunk. Most of these patients die in the first year of life and only 10-15% survive in adulthood. We are reporting a rare case of anomalous origin of left coronary artery from pulmonary artery who survives into sixth decade of life. Key words: Anomalous origin of coronary artery, Pulmonary artery, Left coronary artery DOI: http://dx.doi.org/10.3329/cardio.v1i1.8209 Cardiovasc. j. 2008; 1(1) : 117-121

scholarly journals Anomalous Origin of the Left Anterior Descending Coronary Artery in an Adult

2021 ◽  
Vol 10 (01) ◽  
pp. e9-e10
Author(s):  
Keisuke Shibagaki ◽  
Chikara Shiiku ◽  
Hiroyuki Kamiya ◽  
Yoichi Kikuchi
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Congenital Heart ◽  
Left Coronary Artery ◽  
Internal Thoracic Artery ◽  
Artery Bypass ◽  
Anomalous Origin ◽  
Bypass Grafting

AbstractAn anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart disease. Among the variants, an anomalous origin of the left anterior descending coronary artery from the pulmonary artery (ALADPA) is extremely rare. Here, we report a case of ALADPA in an adult that was treated with coronary artery bypass grafting using the left internal thoracic artery.

scholarly journals 996 Non ST Elevation Myocardial Infarction (NSTEMI) And Complex Coronary Artery Fistula In A Fit 57 Year Old Man And Its Management

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
M I K Malik
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Systolic Function ◽  
Artery Bypass ◽  
Main Pulmonary Artery ◽  
Coronary Artery Fistula ◽  
Stent Insertion ◽  
Rare Finding ◽  
Wave Inversion ◽  
Obtuse Marginal

Abstract A fit 57-year-old man presented with exertional chest pain to the emergency department and was found to have anterolateral T wave inversion on ECG and blood troponin of 1290. Coronary angiography showed a severe proximal to mid-course lesion in the mid left anterior descending artery (LAD), severe ostial disease in obtuse marginal 1 (OM1) and large a coronary artery fistula (CAF) between the proximal LAD and main pulmonary artery (PA). Subsequent cardiac computer tomography multiple gated acquisition (CT MUGA) scan showed a coronary artery to main PA fistula, fed by small branches of the LAD and right coronary artery (RCA). Cardiac magnetic resonance (CMR) showed preserved left ventricle systolic function, ejection fraction 62%, and small left to right shunt. Following multidisciplinary discussion, the consensus was to offer coronary artery bypass grafting (CABG) and fistula ligation as the first option, but percutaneous intervention (PCI) to the LAD would also be feasible. After lengthy discussions, the patient declined CABG and opted for PCI and stent insertion. CAF on angiogram is a rare finding, CAF is an abnormal connection between a coronary artery and either a cardiac chamber or a great vessel including the pulmonary artery. This case highlights a rare finding and its subsequent investigative workup and management considerations.

scholarly journals Anomalous Origin of the Left Main Coronary Artery From the Main Pulmonary Artery in a Young Adult

Circulation ◽  
2001 ◽  
Vol 104 (13) ◽  
pp. 1575-1576 ◽  
Author(s):  
Chi-Peng Lin ◽  
Yen-Po Chen ◽  
Tsai-Hsin Chen ◽  
Wen-Han Liu ◽  
Feng-Sheng Lin ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Young Adult ◽  
Pulmonary Artery ◽  
Left Main Coronary Artery ◽  
Main Pulmonary Artery ◽  
Anomalous Origin ◽  
Left Main

Anomalous Origin of the Right Coronary Artery from the Main Pulmonary Artery. A Case Report

Angiology ◽  
1994 ◽  
Vol 45 (4) ◽  
pp. 325-328 ◽  
Author(s):  
Carl Gustav Dahlström ◽  
Christer Hellekant ◽  
Bengt W. Johansson ◽  
Ulf Nyman
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Main Pulmonary Artery ◽  
Anomalous Origin ◽  
The Right

Extrinsic Compression of the Left Main Coronary Artery: A Case of Atrial Septal Defect with Enlarged Pulmonary Artery

2012 ◽  
Vol 15 (3) ◽  
pp. 158 ◽  
Author(s):  
Mehmet U. Ergenoglu ◽  
Halit Yerebakan ◽  
Ergun Demirsoy
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Left Main Coronary Artery ◽  
Left Internal Mammary Artery ◽  
Artery Bypass ◽  
Left Main ◽  
Surgical Closure ◽  
Extrinsic Compression

We report the case of an adult referred to our center with an initial diagnosis of stenosis of the left main coronary artery (LMCA). A preoperative investigation disclosed an atrial septal defect (ASD) with pulmonary artery hypertension. The angiographic studies confirmed the diagnosis and showed external compression of the LMCA by an enlarged pulmonary artery. Surgical closure of the ASD and tricuspid valve ring annuloplasty with coronary artery bypass surgery (left internal mammary artery to left anterior descending artery) were undertaken. Six months after the surgery, the patient is doing well.

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