title: A rare case of ALCAPA and rheumatic mitral valve regurgitation in an adult patient.
abstract: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary artery defect leading to sudden cardiac death. Diagnosis is made after the onset of symptoms, mainly in the pediatric population. We describe an uncommon presentation of ALCAPA and rheumatic mitral valve regurgitation, diagnosed by a coronary 64-CT scan performed before a planned mitral valve repair operation.
authors.affiliation: Department of Surgery and Translational Medicine, Cardiac Surgery Clinic, San Gerardo Hospital, University of Milan-Bicocca.
authors.forename: Francesco
authors.initials: F
authors.lastname: Formica
authors.affiliation: Cardiac Surgery Unit, Policlinio Città di Monza.
authors.forename: Pietro
authors.initials: P
authors.lastname: Amigoni
authors.affiliation: Department of Surgery and Translational Medicine, Cardiac Surgery Clinic, San Gerardo Hospital, University of Milan-Bicocca.
authors.forename: Silvia
authors.initials: S
authors.lastname: Mariani
authors.affiliation: Department of Health Sciences, University of Milan-Bicocca, Monza, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Coppadoro
authors.affiliation: Department of Surgery and Translational Medicine, Cardiac Surgery Clinic, San Gerardo Hospital, University of Milan-Bicocca.
authors.forename: Serena
authors.initials: S
authors.lastname: Mariani
authors.affiliation: Department of Surgery and Translational Medicine, Cardiac Surgery Clinic, San Gerardo Hospital, University of Milan-Bicocca.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Paolini
mesh_terms: D000328:Adult; D063748:Bland White Garland Syndrome / Q000150:complications* / Q000601:surgery*; D017023:Coronary Angiography / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D033162:Incidental Findings; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000601:surgery*; D035583:Rare Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome