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

Authors

  • 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

DOI:

https://doi.org/10.1532/hsf.1632

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

Acker MA, Parides MK, Perrault LP, et al. 2014. Mitral-valve repair Kottayil BP, Jayakumar K, Dharan BS, et al. 2011. Anomalous origin of left coronary artery from pulmonary artery in older children and adults: direct aortic implantation. Ann Thorac Surg 91:549-53.

Kreutzer C, Schlichter AJ, Roman MI, Kreutzer GO. 2000. Emergency ligation of anomalous left coronary artery arising from the pulmonary artery. Ann Thorac Surg 69:1591-2.

Sahin T, Bozyel S, Acar E, et al. 2012. A young patient with coronary artery anomaly, whose left anterior descending artery originated from the pulmonary artery, underwent cardiac arrest. Cardiovasc J Afr 23:e15-8.

Tian Z, Fang LG, Liu YT, Zhang SY. 2013. Anomalous origin of the left coronary artery from the pulmonary artery detected by echocardiography in an asymptomatic adult. Intern Med 52:233-6.

Yau JM, Singh R, Halpern EJ, Fischman D. 2011. Anomalous origin of the left coronary artery from the pulmonary artery in adults: a comprehensive review of 151 adult cases and a new diagnosis in a 53-year-old woman. Clin Cardiol 34:204-10.

Published

2016-12-01

How to Cite

Demir, T., Ergenoglu, M. U., Korkut, A. K., Tanrikulu, N., & Demirsoy, E. (2016). Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Detected by Echocardiography in an Asymptomatic Young Athlete. The Heart Surgery Forum, 19(6), E259-E261. https://doi.org/10.1532/hsf.1632

Issue

Section

Article