title: Echocardiographic presentation of anomalous origin of the left coronary artery from the pulmonary artery.
abstract: In the 1970s, diagnosing anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) was often uncertain using imaging alone; however, with the advances in high-frequency transducers, advanced image processing, and other ultrasound modalities such as Doppler colour flow imaging, tissue Doppler imaging, and speckle tracking to asses regional wall motion abnormalities, modern echocardiography now permits accurate diagnosis of ALCAPA with greater certainty. Although many consider ultrasound to be the only imaging test necessary if there is a question as to the diagnosis, other imaging modalities such as MRI, CT, and cardiac catheterisation with angiography remain valuable complementary tests, especially in older patients.
authors.affiliation: Department of Paediatrics (Cardiology),Stanford University and the University of California,San Francisco,California,United States of America.
authors.forename: Norman H
authors.initials: NH
authors.lastname: Silverman
mesh_terms: D063748:Bland White Garland Syndrome / Q000175:diagnosis / Q000000981:diagnostic imaging*; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D018618:Echocardiography, Doppler, Color; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging; D011651:Pulmonary Artery / Q000002:abnormalities / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
keywords: Bland; Ultrasound diagnosis; White; and Garland syndrome; ischaemic heart disease in children