title: Anomalous left coronary artery arising from the pulmonary artery discovered beyond infancy.
abstract: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a congenital heart defect rarely diagnosed beyond infancy. We present a 9-year-old girl who had once been diagnosed as congenital coronary artery fistula. Echogenic mitral chordae tendineae, multiple coronary collaterals within the ventricular septum and free ventricular wall, and a shunting flow from the left coronary artery into the pulmonary artery were prominent echocardiographic features of ALCAPA. Reimplantation of the left coronary artery directly onto the aorta achieved a favorable outcome with regression of left ventricular size and alleviation of mitral regurgitation.
authors.affiliation: Cardiovascular Center, PLA Navy General Hospital, Beijing, People's Republic of China.
authors.forename: Jian-Yong
authors.initials: JY
authors.lastname: Zheng
authors.affiliation: Cardiovascular Center, PLA Navy General Hospital, Beijing, People's Republic of China.
authors.forename: Han
authors.initials: H
authors.lastname: Li
authors.affiliation: Cardiovascular Center, PLA Navy General Hospital, Beijing, People's Republic of China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Cardiovascular Center, PLA Navy General Hospital, Beijing, People's Republic of China.
authors.forename: Yi-Gang
authors.initials: YG
authors.lastname: Qiu
authors.affiliation: Cardiovascular Center, PLA Navy General Hospital, Beijing, People's Republic of China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Cao
authors.affiliation: Cardiovascular Center, PLA Navy General Hospital, Beijing, People's Republic of China.
authors.forename: Chu-Zhong
authors.initials: CZ
authors.lastname: Tang
authors.affiliation: Cardiovascular Center, PLA Navy General Hospital, Beijing, People's Republic of China.
authors.forename: Jun-Hui
authors.initials: JH
authors.lastname: Wang
authors.affiliation: Cardiovascular Center, PLA Navy General Hospital, Beijing, People's Republic of China.
authors.forename: Zheng-Ming
authors.initials: ZM
authors.lastname: Xu
authors.affiliation: Cardiovascular Center, PLA Navy General Hospital, Beijing, People's Republic of China.
authors.forename: Zhi-Chao
authors.initials: ZC
authors.lastname: Wang
authors.affiliation: Cardiovascular Center, PLA Navy General Hospital, Beijing, People's Republic of China.
authors.forename: Tian-Chang
authors.initials: TC
authors.lastname: Li
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D002648:Child; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000601:surgery; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery
keywords: cardiac surgical procedures; congenital heart defect; echocardiography; left coronary artery; pulmonary artery