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Pediatric cardiology · Jun 2013
Case ReportsAnomalous origin of the left coronary artery from the pulmonary artery confirmed by 320-slice computed tomography.
- Jian Zhu, Yong Liu, Shui-Bo Zhu, and Yu Zhang.
- Department of Thoracic Cardiovascular Surgery, Wuhan General Hospital of Guangzhou Command, 627# Wuluo Road, Wuchangqu, Wuhan 430070, Hubei, People's Republic of China. zhujian0718@163.com
- Pediatr Cardiol. 2013 Jun 1; 34 (5): 1283-4.
AbstractAnomalous origin the left coronary artery from the pulmonary artery (ALCAPA) is an extremely rare congenital coronary abnormality that may be difficult to diagnose by echocardiography. Most patients present with a potentially fatal illness leading to sudden cardiac death during infancy. This report describes a 15-year-old girl who had 15-year history of cardiac murmur but with no clinical symptoms. Echocardiographic examination was normal, but a 320-slice computed tomographic (CT) scan showed the anomalous origin of the left coronary artery form the pulmonary artery. This case demonstrates that the 320-slice CT scan is a sensitive and reliable technique for establishing the diagnosis of ALCAPA in both symptomatic and asymptomatic patients when it cannot be visualized by echocardiography.
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