title: Antegrade flow in Anomalous Left Coronary Artery from Pulmonary Artery: Clinical implications.
abstract: Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually presents in childhood. It results in left ventricular (LV) ischemia with resulting LV dysfunction. This ischemia results from retrograde flow into the pulmonary artery which can act as a coronary steal. We here report antegrade flow detected in ALCAPA caused by severe pulmonary hypertension. Anatomic correction of ALCAPA is the preferred surgical option and should be performed as early as possible.
authors.affiliation: Division of Pediatric Cardiology, Aswan Heart Center, Aswan, Egypt.
authors.forename: Yasser
authors.initials: Y
authors.lastname: Sedky
authors.affiliation: Division of Cardiac Surgery, Aswan Heart Center, Aswan, Egypt.
authors.forename: Hatem
authors.initials: H
authors.lastname: Hosny
authors.affiliation: Division of Radiology, Aswan Heart Center, Aswan, Egypt.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Donya
authors.affiliation: Division of Pediatric Cardiology, Aswan Heart Center, Aswan, Egypt.
authors.forename: Sherin
authors.initials: S
authors.lastname: AbdElsalam
authors.affiliation: Imperial College, London, UK.
authors.forename: Magdi
authors.initials: M
authors.lastname: Yacoub