Late presentation of an anomalous origin of the left coronary artery from the pulmonary artery: case report and review.
Anomalous origin of the left coronary artery (LCA) from the pulmonary artery (ALCAPA) is a rare cause of ischemia, heart failure and/or sudden death. A premortem diagnosis beyond early childhood is exceedingly rare because over 90% of untreated infants die in the first 12 months of life. We present a case of an asymptomatic fourteen-year old male with ALCAPA diagnosed by multidetector computed tomography (MDCT) angiography, who was successfully treated by surgical coronary transfer of the ALCAPA with reimplantation of the LCA to the aortic root.
Ramana
Ravi K
RK
Cardiac Catheterization Laboratory, Division of Cardiology, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA. rkramana@earthlink.ne.
Varga
Peter
P
Leya
Ferdinand
F
D000293:Adolescent; D003330:Coronary Vessel Anomalies / Q000473:pathology* / Q000601:surgery; D003331:Coronary Vessels / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D013997:Time Factors