title: Anomalous origin of the left coronary artery from the pulmonary artery detected by echocardiography in an asymptomatic adult.
abstract: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital malformation. It is unusual for an ALCAPA patient to survive to adulthood. We present a case of an asymptomatic 54-year-old woman with this syndrome in which visualization of a markedly enlarged and tortuous right coronary artery and intercoronary collaterals by echocardiography raises suspicion for this disease and subsequently guides a step-by-step diagnosis. The patient lives well without surgery 3 years after diagnosis.
authors: Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, China.
authors: Zhuang
authors: Z
authors: Tian
authors: Li-Gang
authors: LG
authors: Fang
authors: Yong-Tai
authors: YT
authors: Liu
authors: Shu-Yang
authors: SY
authors: Zhang
mesh_terms: D058070:Asymptomatic Diseases; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities / Q000000981:diagnostic imaging*