title: Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Detected by Echocardiography in an Asymptomatic Young Athlete.
abstract: The anomalous origin of the coronary artery from the pulmonary artery (ALCAPA) is the most common congenital coronary artery anomaly. Up to 90% of patients die during the first year of life. It is unusual for an ALCAPA patient to survive to adulthood. We present a case of an asymptomatic young athlete with ALCAPA, in which the diagnosis was established by echocardiography during pre-participation physical evaluation. The patient underwent surgical closure of the left main coronary artery ostium through the inside of the main pulmonary artery and coronary artery bypass grafting. He was discharged after 6 days and remained well during follow-up visits. We emphasize the importance of echocardiographic examination during pre-participation cardiovascular screening in young athletic populations to avoid sudden death related to ALCAPA.
authors.affiliation: Department of Cardiovascular Surgery, Kolan International Hospital, İstanbul, Turkey.
authors.forename: Tolga
authors.initials: T
authors.lastname: Demir
authors.affiliation: Department of Cardiovascular Surgery, Bayrampasa Kolan Hospital, Istanbul, Turkey.
authors.forename: Mehmet Umit
authors.initials: MU
authors.lastname: Ergenoglu
authors.affiliation: Department of Cardiovascular Surgery, Bayrampasa Kolan Hospital, Istanbul, Turkey.
authors.forename: Ali Kubilay
authors.initials: AK
authors.lastname: Korkut
authors.affiliation: Department of Anesthesiology, Kolan International Hospital, Istanbul, Turkey.
authors.forename: Nursen
authors.initials: N
authors.lastname: Tanrikulu
authors.affiliation: Department of Cardiovascular Surgery, Kolan International Hospital, İstanbul, Turkey.
authors.forename: Ergun
authors.initials: E
authors.lastname: Demirsoy
mesh_terms: D058070:Asymptomatic Diseases; D056352:Athletes; D063748:Bland White Garland Syndrome / Q000175:diagnosis* / Q000601:surgery; D001026:Coronary Artery Bypass / Q000379:methods; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000601:surgery; D004452:Echocardiography / Q000379:methods*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000601:surgery; D055815:Young Adult