Incidental Finding of the Anomalous Origin of Left Main Coronary Artery from Pulmonary Artery in an Adult Presenting with Arrhythmia-Induced Myocardial Ischemia
Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary anomaly with high mortality. It is associated with cardiovascular complications and is usually diagnosed soon after birth. Those who survive into adulthood can present with signs of myo...
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Hindawi Limited
2018-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2018/6485831 |
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doaj-b5a70d2c5dc14eba96c2d6c22db0acea2020-11-24T22:26:40ZengHindawi LimitedCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/64858316485831Incidental Finding of the Anomalous Origin of Left Main Coronary Artery from Pulmonary Artery in an Adult Presenting with Arrhythmia-Induced Myocardial IschemiaShantanu Patil0Mahek Shah1Brijesh Patel2Lohit Garg3Larry Jacobs4Nauman Islam5Matthew Martinez6Department of Cardiology, Lehigh Valley Hospital, Allentown, PA, USADepartment of Medicine, SSM Health St. Mary’s Hospital, St. Louis, MO, USADepartment of Medicine, SSM Health St. Mary’s Hospital, St. Louis, MO, USADepartment of Medicine, SSM Health St. Mary’s Hospital, St. Louis, MO, USADepartment of Medicine, SSM Health St. Mary’s Hospital, St. Louis, MO, USADepartment of Medicine, SSM Health St. Mary’s Hospital, St. Louis, MO, USADepartment of Medicine, SSM Health St. Mary’s Hospital, St. Louis, MO, USAAnomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary anomaly with high mortality. It is associated with cardiovascular complications and is usually diagnosed soon after birth. Those who survive into adulthood can present with signs of myocardial infarction, heart failure, mitral regurgitation, severe pulmonary hypertension, or sudden cardiac death. We present a 53-year-old female presenting with atrial fibrillation and found to have an incidental diagnosis of ALCAPA who refused surgical correction. We also review the epidemiology, diagnosis, age-based clinical presentations, and treatment options for ALCAPA.http://dx.doi.org/10.1155/2018/6485831 |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Shantanu Patil Mahek Shah Brijesh Patel Lohit Garg Larry Jacobs Nauman Islam Matthew Martinez |
| spellingShingle |
Shantanu Patil Mahek Shah Brijesh Patel Lohit Garg Larry Jacobs Nauman Islam Matthew Martinez Incidental Finding of the Anomalous Origin of Left Main Coronary Artery from Pulmonary Artery in an Adult Presenting with Arrhythmia-Induced Myocardial Ischemia Case Reports in Cardiology |
| author_facet |
Shantanu Patil Mahek Shah Brijesh Patel Lohit Garg Larry Jacobs Nauman Islam Matthew Martinez |
| author_sort |
Shantanu Patil |
| title |
Incidental Finding of the Anomalous Origin of Left Main Coronary Artery from Pulmonary Artery in an Adult Presenting with Arrhythmia-Induced Myocardial Ischemia |
| title_short |
Incidental Finding of the Anomalous Origin of Left Main Coronary Artery from Pulmonary Artery in an Adult Presenting with Arrhythmia-Induced Myocardial Ischemia |
| title_full |
Incidental Finding of the Anomalous Origin of Left Main Coronary Artery from Pulmonary Artery in an Adult Presenting with Arrhythmia-Induced Myocardial Ischemia |
| title_fullStr |
Incidental Finding of the Anomalous Origin of Left Main Coronary Artery from Pulmonary Artery in an Adult Presenting with Arrhythmia-Induced Myocardial Ischemia |
| title_full_unstemmed |
Incidental Finding of the Anomalous Origin of Left Main Coronary Artery from Pulmonary Artery in an Adult Presenting with Arrhythmia-Induced Myocardial Ischemia |
| title_sort |
incidental finding of the anomalous origin of left main coronary artery from pulmonary artery in an adult presenting with arrhythmia-induced myocardial ischemia |
| publisher |
Hindawi Limited |
| series |
Case Reports in Cardiology |
| issn |
2090-6404 2090-6412 |
| publishDate |
2018-01-01 |
| description |
Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary anomaly with high mortality. It is associated with cardiovascular complications and is usually diagnosed soon after birth. Those who survive into adulthood can present with signs of myocardial infarction, heart failure, mitral regurgitation, severe pulmonary hypertension, or sudden cardiac death. We present a 53-year-old female presenting with atrial fibrillation and found to have an incidental diagnosis of ALCAPA who refused surgical correction. We also review the epidemiology, diagnosis, age-based clinical presentations, and treatment options for ALCAPA. |
| url |
http://dx.doi.org/10.1155/2018/6485831 |
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