Atypical presentation of anomalous origin of the left main coronary artery from the pulmonary artery.

Full Abstract

Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually presents in childhood. Ninety percent of the patients with ALCAPA die within the first year of life without surgical intervention. In adults, ALCAPA is associated with left ventricular dysfunction, mitral regurgitation, and sudden death. The present report describes the case of an adult patient who presented with an abnormal stress test and ALCAPA was diagnosed during cardiac catheterization.

Author information

Author/s: Suzuki, Takeki (T); Ittleman, Frank P (FP); Gogo, Prospero B (PB);

Affiliation: Cardiology Division and Cardiothoracic Surgery Division, University of Vermont College of Medicine, Fletcher Allen Health Care, Burlington, Vermont 05401, USA. suzukit_tky(-atsign-)hotmail.com

Journal and publication information

Publication Type: Case Reports; Journal Article

Journal: The Annals of thoracic surgery (Ann Thorac Surg), published in Netherlands. (Language: eng)

Reference: 2009-Oct; vol 88 (issue 4) : pp 1339-41

Dates: Created 2009/09/21; Completed 2009/10/08;

PMID: 19766838, status: MEDLINE (last retrieval date: 10/8/2009, IMS Date: )

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