Anomalous origin of the left coronary artery from the pulmonary artery in an adult patient presenting with congestive heart failure

2013 ◽  
Vol 21 (3) ◽  
pp. 786-788
Author(s):  
Mustafa Çetin
Author(s):  
Sun Huichao

A female patient aged 3 months and 10 days was admitted to the cardiology department because of symptoms of heartfailure. According to the echocardiography results, the patient received a diagnosis of primary endocardial fibroelastosisand was treated with γ-globulin, prednisone, digoxin, and diuretics. Coronary computed tomographic angiographyand coronary angiography were performed as there was no improvement after 2 months of treatment. Finally, thepatient received a diagnosis of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA).ALCAPA is a rare congenital heart defect that can cause severe heart failure during infancy, and is easily misdiagnosedclinically (the misdiagnosis rate of ALCAPA is high in clinics). In this report, we show the process of misdiagnosisof the case and consult the relevant literature, hoping to improve the understanding and early diagnosis of ALCAPA.


2017 ◽  
Vol 44 (6) ◽  
pp. 395-398
Author(s):  
Margaret M. Fuchs ◽  
Rachel J. Le ◽  
Michael W. Cullen ◽  
Joseph J. Maleszewski ◽  
Naser M. Ammash

Anomalous origin of the left coronary artery from the pulmonary artery is rare and typically results in mitral regurgitation, ventricular arrhythmias, heart failure, and sudden death. The condition most often manifests itself in early childhood, but some individuals are diagnosed much later. We describe the case of a 75-year-old woman with heart failure in whom stepwise multimodal imaging revealed anomalous origin of the left coronary artery from the pulmonary artery.


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