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Anomalous left coronary artery arising from the pulmonary artery discovered beyond infancy
Author(s) -
Zheng JianYong,
Li Han,
Chen Yu,
Qiu YiGang,
Cao Yi,
Tang ChuZhong,
Wang JunHui,
Xu ZhengMing,
Wang ZhiChao,
Li TianChang
Publication year - 2016
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22314
Subject(s) - medicine , cardiology , left coronary artery , pulmonary artery , artery , shunting , mitral regurgitation , aorta , right coronary artery , fistula , radiology , myocardial infarction , coronary angiography
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a congenital heart defect rarely diagnosed beyond infancy. We present a 9‐year‐old girl who had once been diagnosed as congenital coronary artery fistula. Echogenic mitral chordae tendineae, multiple coronary collaterals within the ventricular septum and free ventricular wall, and a shunting flow from the left coronary artery into the pulmonary artery were prominent echocardiographic features of ALCAPA. Reimplantation of the left coronary artery directly onto the aorta achieved a favorable outcome with regression of left ventricular size and alleviation of mitral regurgitation. © 2015 Wiley Periodicals, Inc. J Clin Ultrasound 44 :261–264, 2016