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Case Reports
Anomalous left coronary artery arising from the pulmonary artery discovered beyond infancy.
- Jian-Yong Zheng, Han Li, Yu Chen, Yi-Gang Qiu, Yi Cao, Chu-Zhong Tang, Jun-Hui Wang, Zheng-Ming Xu, Zhi-Chao Wang, and Tian-Chang Li.
- Cardiovascular Center, PLA Navy General Hospital, Beijing, People's Republic of China.
- J Clin Ultrasound. 2016 May 1; 44 (4): 261-4.
AbstractAnomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a congenital heart defect rarely diagnosed beyond infancy. We present a 9-year-old girl who had once been diagnosed as congenital coronary artery fistula. Echogenic mitral chordae tendineae, multiple coronary collaterals within the ventricular septum and free ventricular wall, and a shunting flow from the left coronary artery into the pulmonary artery were prominent echocardiographic features of ALCAPA. Reimplantation of the left coronary artery directly onto the aorta achieved a favorable outcome with regression of left ventricular size and alleviation of mitral regurgitation.© 2015 Wiley Periodicals, Inc.
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