Abstract
Late presentation of an anomalous left coronary artery from the pulmonary artery (ALCAPA)
is uncommon because patients rarely survive past infancy. We present a case of symptomatic
ALCAPA associated with decreased myocardial contractility in a 68-year-old woman.
The patient underwent reimplantation of the left coronary artery in the aortic root.
Résumé
Le tableau clinique tardif d’une origine anormale de l’artère coronaire gauche à partir
de l’artère pulmonaire (ALCAPA : anomalous left coronary artery from the pulmonary artery) est peu fréquent puisque les patients survivent rarement au-delà de la petite enfance.
Nous présentons un cas d’ALCAPA symptomatique associé à la diminution de la contractilité
myocardique chez une femme de 68 ans. La patiente a subi une réimplantation de l’artère
coronaire gauche sur la racine aortique.
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References
- Bland-White-Garland syndrome in a 39 year old mother.Ann Thorac Surg. 2004; 78: 1451-1453
- Anomalous origin of left coronary artery from the pulmonary artery in a 60-year-old woman.J Thorac Cardiovasc Surg. 2014; 147: 1706-1707
- A 72 year old woman with ALCAPA.Heart. 2000; 83: E2
- Anomalous origin of left coronary artery from pulmonary artery in older children and adults: direct aortic implantation.Ann Thorac Surg. 2011; 91: 549-553
- Late complications after Takeuchi repair of anomalous left coronary artery from the pulmonary artery: case series and review of literature.Pediatr Cardiol. 2012; 33: 1115-1123
Article info
Publication history
Published online: December 27, 2015
Accepted:
December 11,
2015
Received:
July 23,
2015
Footnotes
See page 1576.e3 for disclosure information.
Identification
Copyright
© 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
