Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adulthood: Challenges and Outcomes

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an extremely rare, potentially fatal, congenital anomaly with a high mortality rate in the first year of life. It occurs rarely in adulthood and may appear with malignant ventricular a rrhythmia or sudden death. We re...

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Autores principales: Kothari, Jignesh, Lakhia, Ketav, Solanki, Parth, Parmar, Divyakant, Boraniya, Hiren, Patel, Sanjay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5059126/
https://www.ncbi.nlm.nih.gov/pubmed/27734000
http://dx.doi.org/10.5090/kjtcs.2016.49.5.383
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author Kothari, Jignesh
Lakhia, Ketav
Solanki, Parth
Parmar, Divyakant
Boraniya, Hiren
Patel, Sanjay
author_facet Kothari, Jignesh
Lakhia, Ketav
Solanki, Parth
Parmar, Divyakant
Boraniya, Hiren
Patel, Sanjay
author_sort Kothari, Jignesh
collection PubMed
description Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an extremely rare, potentially fatal, congenital anomaly with a high mortality rate in the first year of life. It occurs rarely in adulthood and may appear with malignant ventricular a rrhythmia or sudden death. We report a case of a 49-year-old woman with ALCAPA who presented with dyspnea on exertion. Management was coronary artery bypass grafting to the left anterior descending artery and obtuse marginal arteries, closure of the left main coronary artery ostium, and reestablishment of the dual coronary artery system.
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spelling pubmed-50591262016-10-12 Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adulthood: Challenges and Outcomes Kothari, Jignesh Lakhia, Ketav Solanki, Parth Parmar, Divyakant Boraniya, Hiren Patel, Sanjay Korean J Thorac Cardiovasc Surg Case Report Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an extremely rare, potentially fatal, congenital anomaly with a high mortality rate in the first year of life. It occurs rarely in adulthood and may appear with malignant ventricular a rrhythmia or sudden death. We report a case of a 49-year-old woman with ALCAPA who presented with dyspnea on exertion. Management was coronary artery bypass grafting to the left anterior descending artery and obtuse marginal arteries, closure of the left main coronary artery ostium, and reestablishment of the dual coronary artery system. The Korean Society for Thoracic and Cardiovascular Surgery 2016-10 2016-10-05 /pmc/articles/PMC5059126/ /pubmed/27734000 http://dx.doi.org/10.5090/kjtcs.2016.49.5.383 Text en Copyright © 2016 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kothari, Jignesh
Lakhia, Ketav
Solanki, Parth
Parmar, Divyakant
Boraniya, Hiren
Patel, Sanjay
Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adulthood: Challenges and Outcomes
title Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adulthood: Challenges and Outcomes
title_full Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adulthood: Challenges and Outcomes
title_fullStr Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adulthood: Challenges and Outcomes
title_full_unstemmed Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adulthood: Challenges and Outcomes
title_short Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adulthood: Challenges and Outcomes
title_sort anomalous origin of the left coronary artery from the pulmonary artery in adulthood: challenges and outcomes
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5059126/
https://www.ncbi.nlm.nih.gov/pubmed/27734000
http://dx.doi.org/10.5090/kjtcs.2016.49.5.383
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