Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) presenting with ventricular fibrillation in an adult: a ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2008-12

AUTHORS

Thomas Kristensen, Klaus Fuglsang Kofoed, Steffen Helqvist, Morten Helvind, Lars Søndergaard

ABSTRACT

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly. The usual clinical course is severe left sided heart failure and mitral valve insufficiency presenting during the first months of life. However, in some cases collateral blood supply from the right coronary artery is sufficient and symptoms may be subtle or even absent. Arrhythmias or sudden cardiac death in adult life may be the first clinical presentation in patients with ALCAPA. We report a case, where a 39-year old woman presented with ventricular fibrillation during phycial exertion. Coronary angiography and CT-angiography revealed an anomalous origin of the left coronary artery, and an aortic reimplantation of the left coronary artery was performed followed by ICD implantation. A review of the literature on ALCAPA is presented along with CT images before and after surgery. More... »

PAGES

33

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1749-8090-3-33

DOI

http://dx.doi.org/10.1186/1749-8090-3-33

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1026094812

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18503713


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