Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Detected by Echocardiography in an Asymptomatic Young Athlete

  • Tolga Demir Department of Cardiovascular Surgery, Kolan International Hospital, İstanbul http://orcid.org/0000-0002-0338-7007
  • Mehmet Umit Ergenoglu Department of Cardiovascular Surgery, Bayrampasa Kolan Hospital, Istanbul
  • Ali Kubilay Korkut Department of Cardiovascular Surgery, Bayrampasa Kolan Hospital, Istanbul
  • Nursen Tanrikulu Department of Anesthesiology, Kolan International Hospital, İstanbul
  • Ergun Demirsoy Department of Cardiovascular Surgery, Kolan International Hospital, İstanbul

Abstract

The anomalous origin of the coronary artery from the pulmonary artery (ALCAPA) is the most common congenital coronary artery anomaly. Up to 90% of patients die during the first year of life. It is unusual for an ALCAPA patient to survive to adulthood. We present a case of an asymptomatic young athlete with ALCAPA, in which the diagnosis was established by echocardiography during pre-participation physical evaluation. The patient underwent surgical closure of the left main coronary artery ostium through the inside of the main pulmonary artery and coronary artery bypass grafting. He was discharged after 6 days and remained well during follow-up visits. We emphasize the importance of echocardiographic examination during pre-participation cardiovascular screening in young athletic populations to avoid sudden death related to ALCAPA.

References

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Published
2016-12-01
Section
Articles

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