title: Anomalous origin of the left coronary artery from the pulmonary artery presenting as dilated cardiomyopathy.
abstract: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly and one of the causes of myocardial ischemia. It often presents with atypical signs and symptoms, especially in childhood. In this case report, an 11-year-old girl presented with dilated cardiomyopathy in our clinic and was followed for five years. Echocardiography showed multiple left-to-right shunts on the interventricular septum, the confirmation of which was done by multi-slice computed tomography and coronary angiography. Therefore, we suggest that ALCAPA should be suspected in young patients diagnosed with dilated cardiomyopathy.
authors.affiliation: Department of Pediatrics, Cardiology Subdivision, Tepecik Training and Research Hospital, İzmir, Turkey.
authors.forename: Ali Rahmi
authors.initials: AR
authors.lastname: Bakiler
authors.forename: Kayı
authors.initials: K
authors.lastname: Eliaçık
authors.forename: Seda
authors.initials: S
authors.lastname: Köse
authors.forename: Yüksel
authors.initials: Y
authors.lastname: Atay
mesh_terms: D002311:Cardiomyopathy, Dilated; D002648:Child; D003097:Collateral Circulation; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed