BACKGROUND Anomalous origin of the left coronary artery (LCA) from the pulmonary artery (ALCAPA) is a rather rare congenital anomaly that has a profound effect on heart function. This study aimed to retrospectively illustrate the perioperative clinical features, therapy experience, and midterm outcomes after surgical correction, and to determine the value of left ventricular ejection fraction (...

Methods 6 patients with repaired ALCAPA (2 Tackeuchi, 4 direct re-implantation) underwent CMR to assess clinical suspicion of myocardial ischemia short axis and long axis cine images (assess ventricular function), late-gadolinium enhancement (detect myocardial fibrosis), adenosine stress perfusion scan (detection of reversible ischaemia) and 3D whole-heart imaging (visualization of proximal cor...

BACKGROUND Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital malformation that presents a diagnostic challenge to the pediatrician and pediatric cardiologist. Although surgical repair is always indicated, the optimal technique has yet to be determined. OBJECTIVES To review our experience with the diagnosis of children with ALCAPA and to assess short t...

Introduction We sought to determine the surgical outcomes of patients with anomalous origin left coronary artery from pulmonary (ALCAPA) enrolled in European Congenital Heart Surgeons Association (ECHSA) database. Materials and Methods From 1999 2019, 907 ALCAPA underwent repair were included current study. The primary outcome was in-hospital mortality. Secondary frequency results concomitant m...

Anomalous origin of left main coronary artery from pulmonary artery (ALCAPA) is a very rare congenital anomaly, reported in less than 0.5% of all the congenital heart diseases. Left untreated, majority of the patients die in infancy of myocardial ischemia. We report a case with this anomaly, presented in early infancy with progressive dyspnoea, feeding difficulty and cardiomagaly on X-ray. The ...