Abnormal Origin of the Left Coronary Artery From the Pulmonary Artery Discovered at Age 67: What to Do?

Abstract

Anomalous left coronary artery from the pulmonary artery (ALCAPA) was described by Abbott in 1908. In most cases, it is an isolated lesion, being the most common cause of myocardial ischemia in children. The associated mortality rate without intervention reaches 90% during childhood. We report the case of a 67-year-old woman, who underwent coronary angiography for investigation of atypical chest pain and was found to have ALCAPA. The patient refused surgery and has remained asymptomatic on a medical regimen.

Keywords

adult congenital heart disease anomalous coronary artery ischemia quality of life

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References

Bland

. Congenital anomalies of the coronary arteries: report of an unusual case associated with cardiac hypertrophy. Am Heart J. 1933;8(6):787–801.

Karolczak

Wieteska

Bec

Madry

. Anomalous origin of the left coronary artery (LCA) from pulmonary artery (Bland-White-Garland syndrome) with systemic collateral supply to LCA. Med Sci Monit. 2001;7(4):755–758.

Yau

Singh

Halpern

Fischman

. Comprehensive review of adult ALCAPA cases. Clin Cardiol. 2011;34(4):204–210.

Takeuchi

Imamura

Katsumoto

, et al. New surgical method for repair of anomalous left coronary artery from pulmonary artery. J Thorac Cardiovasc Surg. 1979;78(1):7–11

Turley

Szarnicki

Flachsbart

Richter

Popper

Tarnoff

. Aortic implantation is possible in all cases of anomalous origin of the left coronary artery from the pulmonary artery. Ann Thorac Surg. 1995;60(1):84–89

Shimizu

Hirayama

Suesada

Ikeda

Ito

Ishimaru

. Effect of flow competition on internal thoracic artery graft: postoperative velocimetric and angiographic study. J Thorac Cardiovasc Surg. 2000;120(3):459–465

Allen

Barth

Ilbawi

. Pediatric myocardial protection: an overview. Semin Thorac Cardiovasc Surg. 2001;13(1):56–72.

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