Report an error   


HERDIN Record #: NCR-PHC-1801161531208 Submitted: 16 January 2018 Modified: 16 January 2018

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) in an adult patient who had a previous patent ductus arteriosus.

Gisel T. Catalan

See More

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an extremely rare congenital cardiac anomaly with the incidence of 0.25% - 0.5% of all congenital heart diseases in the United States. ALCAPA, in rare incidences, has been described occurring with other congenital cardiac defects.


This is a case of 43 year old female, known case of Patent Ductus Arteriosus, S/p ligation at 30 years of age, who came in with symptoms of easy fatigability accompanied by dyspnea and chest pain for 3 months. Patient was subsequently admitted and underwent closure of ALCAPA with coronary artery bypass graft (left internal mammary artery to left anterior descending artery). Intraoperative findings were a left coronary artery ostia draining into the main pulmonary artery and a dilated right coronary artery with collaterals. Post-operative recovery was uneventful and patient was discharged asymptomatic.


ALCAPA is a rare congenital anomaly which can occur with a PDA. Symptoms of ALCAPA present during the 1st 2 months of life in 85% of cases but may also manifest later in childhood.


 


 

LocationLocation CodeAvailable FormatAvailability
Philippine Heart Center Medical Library CR.008.14 Fulltext Print Format
 

Copyright © One Window Project 2018. All rights reserved.