201. Anomalous left coronary artery arising from the pulmonary artery discovered beyond infancy
- Author
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Han Li, Chu-Zhong Tang, Yi-Gang Qiu, Zhi-Chao Wang, Jian-Yong Zheng, Yu Chen, Zheng-Ming Xu, Tian-Chang Li, Jun-Hui Wang, and Yi Cao
- Subjects
Aorta ,Mitral regurgitation ,medicine.medical_specialty ,business.industry ,030204 cardiovascular system & hematology ,medicine.disease ,Shunting ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Left coronary artery ,030220 oncology & carcinogenesis ,medicine.artery ,Internal medicine ,Pulmonary artery ,cardiovascular system ,medicine ,Cardiology ,Radiology, Nuclear Medicine and imaging ,cardiovascular diseases ,Myocardial infarction ,Chordae tendineae ,Differential diagnosis ,business - Abstract
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a congenital heart defect rarely diagnosed beyond infancy. We present a 9-year-old girl who had once been diagnosed as congenital coronary artery fistula. Echogenic mitral chordae tendineae, multiple coronary collaterals within the ventricular septum and free ventricular wall, and a shunting flow from the left coronary artery into the pulmonary artery were prominent echocardiographic features of ALCAPA. Reimplantation of the left coronary artery directly onto the aorta achieved a favorable outcome with regression of left ventricular size and alleviation of mitral regurgitation.
- Published
- 2015
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