title: Severe mitral regurgitation: a misleading presentation.
abstract: Anomalous left coronary artery arising from the pulmonary artery (ALCAPA) is a rare congenital anomaly commonly presenting in infancy with severe congestive cardiac failure due to myocardial ischemia. We present a two and half year old child who presented with severe mitral regurgitation and near normal left ventricular function and turned out to be having ALCAPA. High pulmonary artery pressures prevented coronary steal into the pulmonary arteries and preserved LV function (near noprmal) at presentation.
authors.affiliation: Department of Pediatric Cardiac Sciences, Narayana Hrudayalaya, Bangalore, India.
authors.forename: Anamika
authors.initials: A
authors.lastname: Mehta
authors.forename: Sejal
authors.initials: S
authors.lastname: Shah
authors.forename: Amit
authors.initials: A
authors.lastname: Misri
authors.forename: P V
authors.initials: PV
authors.lastname: Suresh
authors.forename: Sunita
authors.initials: S
authors.lastname: Maheshwari
mesh_terms: D002675:Child, Preschool; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006333:Heart Failure / Q000503:physiopathology*; D006801:Humans; D006976:Hypertension, Pulmonary; D008944:Mitral Valve Insufficiency / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D011651:Pulmonary Artery / Q000002:abnormalities*; D016277:Ventricular Function, Left