Uncommon cause of dyspnea in a young patient, diagnosed by cardiac magnetic resonance imaging.
DOI:
https://doi.org/10.37615/retic.v6n2a7Keywords:
ALCAPA syndrome, coronary arteries, cardiac magnetic resonanceAbstract
Anomalous origin of the left coronary artery (LCA left coronary artery) in the pulmonary artery (PA) (ALCAPA), , is a rare congenital anomaly, with an incidence of 1 in 300,000 live births and represents 0.4% of congenital heart abnormalities. It is the result of an abnormal septation of the cone arteriosus or the persistence of pulmonary buds together with the involution of the aortic buds that eventually form the coronary arteries. We present a case in which cardiac magnetic resonance was the main diagnostic method.
Downloads
Metrics
References
S. J. Brooks, “Two cases of an abnormal coronary artery of the heart, arising from the pulmonary artery, with some remarks upon the effect of this anomaly in producing cirsoid dilatation of the vessels,” Journal of Anatomy and Physiology, vol. 20, pp. 26–29, 1885.
Krexi L, Sheppard MN. Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), a forgotten congenital cause of sudden death in the adult. Cardiovasc Pathol 2013; 22: 294 – 297. doi: https://doi.org/10.1016/j.carpath.2012.11.006
Yau JM, Singh R, Halpern EJ, Fischman D. Anomalous origin of the left coronary artery from the pulmonary artery in adults: a comprehensive review of 151 adult cases and a new diagnosis in a 53-Year-old woman. Clin Cardiol.2011;34:204–210. doi: https://doi.org/10.1002/clc.20848
Vizzuso, A., Righi, R., Zerbini, M. et al. An unusual presentation of anomalous left coronary artery from the pulmonary artery (ALCAPA) syndrome in a 70-year-old man: a case report. J Med Case Reports 12, 308 (2018). https://doi.org/10.1186/s13256-018-1851-4
Culham JAG. Abnormalities of the Coronary Arteries. En: Freedom RM, Mawson JB, Yoo SJ, Benson LN, Editores, Congenital Heart Disease. Textbook of Angiocardiography. Armonk, NY: Futura Publishing Company Inc., 1997. p. 862-6. 6. Oncel G, Oncel D. Anomalous origin of the le coronary artery from the pulmonary artery: diagnosis with CT angiography. J Cardiothorac Surg. 2008;3:33. doi: https://doi.org/10.4103/2156-7514.106618
Byung Gyu Kim, Sung Woo Cho, Dae Hyun Hwang, and Jong Chun Nah, MD Multimodality Imaging of Anomalous Left Coronary Artery from the Pulmonary Artery J Cardiovasc Ultrasound 2017;25(3):107-109. doi: https://doi.org/10.4250/jcu.2017.25.3.107
Hajhosseiny, R., Rashid, I., Bustin, A. et al. Clinical comparison of sub-mm high-resolution non-contrast coronary CMR angiography against coronary CT angiography in patients with low-intermediate risk of coronary artery disease: a single center trial. J Cardiovasc Magn Reson 23, 57 (2021). https://doi.org/10.1186/s12968-021-00758-9
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Mariana Pierucci, Marcos Agon, Omar Jure
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
RETIC is distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license https://creativecommons.org/licenses/by-nc-nd/4.0 which allows sharing, copying and redistribution of the material in any medium or format, under the following terms:
- Attribution: you must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests that the licensor endorses you or your use.
- Non-commercial: you may not use the material for commercial purposes.
- No Derivatives: if you remix, transform or build upon the material, you may not distribute the modified material.
- No Additional Restrictions: you may not apply legal terms or technological measures that legally restrict others from doing anything permitted by the license.