ALCAPA syndrome: An example of chronic myocardial hypoperfusion?

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Late presentation of ALCAPA syndrome in an elderly Asian lady.

Coronary artery anomalies are often discovered incidentally during cardiac catheterization or computed tomography coronary angiography and may involve the affected coronary artery origin and its course. Coronary artery anomalies are associated with congenital heart disease. The affected coronary arteries may have an unusual high take off origin, origin from contralateral or non-coronary sinus, ...

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Diagnosis of ALCAPA syndrome in adults.

pulmonary artery (PA), receiving collaterals from a dilated RCA (Figure, B and D). Anomalous left coronary artery arising from the pulmonary artery (ALCAPA syndrome) is uncommon, although the true incidence may be underestimated because of the difficulties in diagnosing the condition in the absence of symptoms in adults. The diagnosis has been based on coronary angiography findings, but now MDC...

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Orthostatic Cerebral Hypoperfusion Syndrome

OBJECTIVE Orthostatic dizziness without orthostatic hypotension is common but underlying pathophysiology is poorly understood. This study describes orthostatic cerebral hypoperfusion syndrome (OCHOs). OCHOs is defined by (1) abnormal orthostatic drop of cerebral blood flow velocity (CBFv) during the tilt test and (2) absence of orthostatic hypotension, arrhythmia, vascular abnormalities, or oth...

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ALCAPA in an Octogenarian Woman: An Enigma

ALCAPA syndrome (anomalous origin of the left coronary artery from the pulmonary artery) is an exceedingly rare disease but lethal with clinical expression from myocardial infarction, congestive heart failure to death during early infancy and rare survival to adulthood. A 75-year-old woman with ALCAPA syndrome presented with angina (Canadian Cardiovascular Society functional class II) over past...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1994

ISSN: 0735-1097

DOI: 10.1016/0735-1097(94)90767-6