title: Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adulthood: Challenges and Outcomes.
abstract: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an extremely rare, potentially fatal, congenital anomaly with a high mortality rate in the first year of life. It occurs rarely in adulthood and may appear with malignant ventricular a rrhythmia or sudden death. We report a case of a 49-year-old woman with ALCAPA who presented with dyspnea on exertion. Management was coronary artery bypass grafting to the left anterior descending artery and obtuse marginal arteries, closure of the left main coronary artery ostium, and reestablishment of the dual coronary artery system.
authors.affiliation: Department of Cardio Vascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, B. J. Medical College, Civil Hospital Campus.
authors.forename: Jignesh
authors.initials: J
authors.lastname: Kothari
authors.affiliation: Department of Cardio Vascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, B. J. Medical College, Civil Hospital Campus.
authors.forename: Ketav
authors.initials: K
authors.lastname: Lakhia
authors.affiliation: Department of Cardio Vascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, B. J. Medical College, Civil Hospital Campus.
authors.forename: Parth
authors.initials: P
authors.lastname: Solanki
authors.affiliation: Department of Cardiac Anesthesia, U. N. Mehta Institute of Cardiology and Research Center, B. J. Medical College, Civil Hospital Campus.
authors.forename: Divyakant
authors.initials: D
authors.lastname: Parmar
authors.affiliation: Department of Cardio Vascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, B. J. Medical College, Civil Hospital Campus.
authors.forename: Hiren
authors.initials: H
authors.lastname: Boraniya
authors.affiliation: Research, U. N. Mehta Institute of Cardiology and Research Center, B. J. Medical College, Civil Hospital Campus.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Patel
keywords: Cardiopulmonary bypass; Coronary artery bypass