A Rare Case of ALCAPA and Rheumatic Mitral Valve Regurgitation in an Adult Patient
DOI:
https://doi.org/10.1532/HSF98.2014354Abstract
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary artery defect leading to sudden cardiac death. Diagnosis is made after the onset of symptoms, mainly in the pediatric population. We describe an uncommon presentation of ALCAPA and rheumatic mitral valve regurgitation, diagnosed by a coronary 64-CT scan performed before a planned mitral valve repair operation.References
Alexi-Meskishvili V, Berger F, Weng Y, et al. 1995. Anomalous origin of the left coronary artery from the pulmonary artery in adults. J Card Surg 10:309-15.nCowles RA, Berdon WE. 2007. Bland-White-Garland syndrome of anomalous left coronary artery arising from the pulmonary artery (ALCAPA): a historical review. Pediatr Radiol 37:890-5.nKim SY, Seo JB, Do HH, et al. 2006. Coronary artery anomalies: classification and ECG-gated multi-detector row CT findings with angiographic correlation. Radiographics 26:317-33.nMoodie DS, Fyfe D, Gill CC, et al. 1983. Anomalous origin of the left coronary artery from the pulmonary artery (Bland-White-Garland syndrome) in adult patients: longterm follow-up after surgery. Am Heart J 106:381-8.nSu LS, Burkhart HM, O'Leary PW, Dearani JA. 2011. Mitral valve arcade with concomitant anomalous left coronary artery from the pulmonary artery. Ann Thorac Surg 92:e121-3.n
