Anomalous origin of the left coronary artery from the pulmonary artery with patent ductus arteriosus: a must to recognize entity.

Abstract

Anomalous left coronary artery from the pulmonary trunk (ALCAPA) presents in early infancy with a clinical picture of congestive heart failure with left ventricular (LV) dysfunction and mitral insufficiency. These manifestations of myocardial ischaemia may be masked in the presence of an associated patent ductus arteriosus (PDA) or ventricular septal defect (VSD) which prevents the fall of pulmonary artery pressures and allows perfusion of the anomalous coronary artery. We present a case of a patient with large PDA-associated ALCAPA and preserved LV function. The importance of such a finding lies in the fact that VSD closure or PDA ligation in such cases would unmask the ALCAPA.

• Authors: Neeraj Awasthy, Ashutosh Marwah, Rajesh Sharma, Bharat Dalvi
• Journal: European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology (Eur J Echocardiogr) Vol. 11 Issue 8 Pg. E31 (Sep 2010) ISSN: 1532-2114 [Electronic] England
• PMID: 20308194 (Publication Type: Case Reports, Journal Article)

Topics

• Abnormalities, Multiple (diagnostic imaging, pathology)
• Coronary Vessel Anomalies (diagnostic imaging, pathology)
• Ductus Arteriosus, Patent (complications, diagnostic imaging, pathology)
• Echocardiography
• Humans
• Infant
• Male
• Pericardium (pathology)
• Pulmonary Artery (abnormalities, diagnostic imaging)
• Syndrome
• Ventricular Function, Left