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Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery: Diagnosis with CT Angiography

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly. It is associated with early infant mortality and sudden death in adults. Traditionally, ALCAPA has been diagnosed by angiography or autopsy; however, the development of cardiac computed tomo...

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Autores principales: Oncel, Guray, Oncel, Dilek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3625882/
https://www.ncbi.nlm.nih.gov/pubmed/23607073
http://dx.doi.org/10.4103/2156-7514.106618
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author Oncel, Guray
Oncel, Dilek
author_facet Oncel, Guray
Oncel, Dilek
author_sort Oncel, Guray
collection PubMed
description Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly. It is associated with early infant mortality and sudden death in adults. Traditionally, ALCAPA has been diagnosed by angiography or autopsy; however, the development of cardiac computed tomography (CT) and magnetic resonance imaging (MRI) has allowed noninvasive evaluation of the coronary anatomy by direct visualization of the origin of the left coronary artery (LCA) from the pulmonary artery. We report a case of 10-year-old girl who has been on follow up for dilated cardiomyopathy for 4 years. The definitive diagnosis of ALCAPA is reached by multislice computed tomography (MSCT). The MSCT scan showed an anomalous origin of LCA from the pulmonary trunk, with a tortuous and dilated right coronary artery and right-to-left collateralization. Consequently, the patient was successfully treated with surgery.
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spelling pubmed-36258822013-04-19 Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery: Diagnosis with CT Angiography Oncel, Guray Oncel, Dilek J Clin Imaging Sci Case Report Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly. It is associated with early infant mortality and sudden death in adults. Traditionally, ALCAPA has been diagnosed by angiography or autopsy; however, the development of cardiac computed tomography (CT) and magnetic resonance imaging (MRI) has allowed noninvasive evaluation of the coronary anatomy by direct visualization of the origin of the left coronary artery (LCA) from the pulmonary artery. We report a case of 10-year-old girl who has been on follow up for dilated cardiomyopathy for 4 years. The definitive diagnosis of ALCAPA is reached by multislice computed tomography (MSCT). The MSCT scan showed an anomalous origin of LCA from the pulmonary trunk, with a tortuous and dilated right coronary artery and right-to-left collateralization. Consequently, the patient was successfully treated with surgery. Medknow Publications & Media Pvt Ltd 2013-01-30 /pmc/articles/PMC3625882/ /pubmed/23607073 http://dx.doi.org/10.4103/2156-7514.106618 Text en Copyright: © 2013 Oncel G. http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Oncel, Guray
Oncel, Dilek
Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery: Diagnosis with CT Angiography
title Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery: Diagnosis with CT Angiography
title_full Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery: Diagnosis with CT Angiography
title_fullStr Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery: Diagnosis with CT Angiography
title_full_unstemmed Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery: Diagnosis with CT Angiography
title_short Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery: Diagnosis with CT Angiography
title_sort anomalous origin of the left coronary artery from the pulmonary artery: diagnosis with ct angiography
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3625882/
https://www.ncbi.nlm.nih.gov/pubmed/23607073
http://dx.doi.org/10.4103/2156-7514.106618
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