ALCAPA Presents in an Adult with Exercise Intolerance but Preserved Cardiac Function
Joint Authors
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-09-05
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually manifests as severe left-sided heart failure and mitral valve insufficiency during the first one to two months of life.
The majority of these cases die in infancy if not corrected early upon presentation.
Adulthood presentation is rare and most of the untreated patients who reach adulthood present with left ventricular dysfunction, severe mitral regurgitation, and sometimes myocardial infarction.
Here we report a case of a 20-year-old woman with a history of exercise intolerance since childhood that was misinterpreted as asthma until a 2D-Echo revealed ALCAPA with RCA collaterals to the left anterior descending artery, preserved LV ejection fraction, and absence of apparent mitral valve abnormality.
One month after the ALCAPA diagnosis, she successfully underwent surgical reconstruction of left main and pulmonary artery without any major complications.
She had normal left ventricular function without apparent ischemic cardiac symptoms eighteen months after procedure.
American Psychological Association (APA)
Liu, Yan& Miller, Beth W.. 2012. ALCAPA Presents in an Adult with Exercise Intolerance but Preserved Cardiac Function. Case Reports in Cardiology،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-474166
Modern Language Association (MLA)
Liu, Yan& Miller, Beth W.. ALCAPA Presents in an Adult with Exercise Intolerance but Preserved Cardiac Function. Case Reports in Cardiology No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-474166
American Medical Association (AMA)
Liu, Yan& Miller, Beth W.. ALCAPA Presents in an Adult with Exercise Intolerance but Preserved Cardiac Function. Case Reports in Cardiology. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-474166
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-474166