Anomalous origin of the left coronary artery from the pulmonary artery pulmonary artery trunk with myocardial ischemia and mitral with myocardial ischemia and mitral insufficiency
DOI:
https://doi.org/10.37615/retic.v2n1a7Keywords:
Bland-White- Garland Syndrome, anomalous origin of the left coronary artery from the trunk of the pulmonary artery (ALCAPA), myocardial ischemia, mitral regurgitation.Abstract
We present the case of a patient with a diagnosis of anomalous origin of the left coronary artery from the trunk of the pulmonary artery (ALCAPA). The patient had a previous diagnosis of asymptomatic severe mitral regurgitation of unknown cause. The unexpected evidence of ischemia in the anterior and apical territory
in the stress echocardiogram requested for functional evaluation in addition to the characteristic echocardiographic signs suggested the presumptive diagnosis of ALCAPA, which was confirmed with non-invasive coronary CT.
Among the few patients with ALCAPA who reach adulthood, myocardial ischemia as initial presentation is rare
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Copyright (c) 2019 Ivana Vanesa Oliveri, Diego Xavier Chango-Azanza, Alejandro Deviggiano, Martín Alejandro Munín, Gustavo Sánchez
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