Intraoperative diagnosis with abnormal branching of the left A8 pulmonary artery from the left main pulmonary artery

Left Main Pulmonary Artery

CONGENITAL ABSENCE of a main pulmonary artery branch is now a wellrecognized clinical entity, more than 60 cases having been reported in the literature. Diagnosis has heretofore been based primarily oln radiologic findings' in both routine x-rays and angiocardiography. Physiologic studies of pulmonary function, including differential bronchospirometry, however, provide valuable diagnostic infor...

The Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA): a Case Series and Brief Review

Background Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital cardiovascular defect that occurs in approximately 1/300 000 live births or 0.5% of children with congenital heart disease. There are two types of ALCAPA syndrome: the infant type and the adult type. The most infants experience myocardial infarction and congestive heart failure, and approximately 9...

Different Presentation of Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adults: Case Reports

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital cardiac malformation. We report three cases of ALCAPA who survived to adulthood. The first case was a 51-year-old woman who complained of typical chest pain that was diagnosed with ALCAPA using cardiac catheterization and coronary computed tomographic angiography (CTA). The second case was a 30-...

Left main coronary artery compression by an enlarged pulmonary artery.

Origin of the left coronary artery from the pulmonary artery.

A 45-year-old woman with angina pectoris, beginning at the age of 16 and progressing to produce incapacitation, was found to have an anomalous left coronary artery arising from the pulmonary artery. Because of the severity of symptoms and progression' of disability, the anomalous artery was ligated at its origin from the pulmonary artery. Pressure in the left coronary system increased from 35/1...