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- Title
Anomalous Left Coronary Artery from the Pulmonary Artery: How to Diagnose and Treat.
- Authors
Blickenstaff, Elaina A.; Smith, Sean D.; Cetta, Frank; Connolly, Heidi M.; Majdalany, David S.
- Abstract
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare coronary anomaly that can present in childhood or adulthood with a multitude of symptoms depending on the age of presentation. It should be suspected in infants presenting with heart failure in the setting of left ventricular systolic dysfunction and associated mitral regurgitation from papillary muscle ischemia. Adults with ALCAPA may present with cardiac ischemic symptoms. Prompt diagnosis with echocardiography and cross-sectional chest imaging is important to guide surgical intervention and improve the patients' survival and prognosis. The goal of surgery is to establish a dual-coronary system with mid-term results revealing progressive recovery of left ventricular function and improvement in mitral regurgitation. Patients with ALCAPA should maintain life-long follow-up with a cardiologist with congenital heart disease expertise for surveillance of post-operative complications.
- Subjects
PULMONARY artery; CORONARY arteries; LEFT ventricular dysfunction; CONGENITAL heart disease; PERIPARTUM cardiomyopathy; MITRAL valve insufficiency; PAPILLARY muscles; CARDIAC pacing
- Publication
Journal of Personalized Medicine, 2023, Vol 13, Issue 11, p1561
- ISSN
2075-4426
- Publication type
Article
- DOI
10.3390/jpm13111561