PERSISTENT ALCAPA PHYSIOLOGY AFTER ALCAPA REPAIR

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Sunilkumar MN : ALCAPA www.jrmds.in

Anomalous origin of left coronary artery from pulmonary artery (ALCAPA) or the Bland-White-Garland syndrome was first described in the year 1866 and postulated in 1933. It is an intriguing entity in the field of paediatrics as well as paediatric cardiology due to its varied presentation in the paediatric age group. This congenital heart anomaly is reported in less than 0.5% of all the congenita...

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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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A 72 year old woman with ALCAPA.

ALCAPA syndrome (anomalous origin of the left coronary artery from the pulmonary artery), which causes the left coronary artery to grow with an anomalous origin from the pulmonary artery, is a rare disease which may result in myocardial infarction, congestive heart failure, and sometimes death during the early infantile period. A 72 year old woman with ALCAPA syndrome is presented. The asymptom...

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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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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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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2019

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(19)33475-8