A case of anomalous origin of left coronary artery from the pulmonary artery: Report of an adult case.
- Author:
Hyung Joon KIM
1
;
Si Won LEE
;
Sun Jung KIM
;
Jeong Hoon SEO
;
Su Hong KIM
;
Tae Joon CHA
;
Jae Woo LEE
Author Information
1. Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. dhugie@hanmail.net
- Publication Type:Case Report
- Keywords:
Coronary disease;
Coronary angiography;
Congenital abnormalities
- MeSH:
Adolescent;
Adult*;
Bland White Garland Syndrome;
Child;
Congenital Abnormalities;
Coronary Angiography;
Coronary Disease;
Coronary Vessels*;
Depression;
Electrocardiography;
Female;
Heart Defects, Congenital;
Heart Failure;
Humans;
Middle Aged;
Pulmonary Artery*
- From:Korean Journal of Medicine
2005;68(5):566-570
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Anomalous origin of the left coronary artery from pulmonary artery was first described in a child by Brooks. This ALCAPA syndrome is a rare congenital anomaly occuring in approximately 0.25~0.50% of children having congenital heart disease. Although approximately 80 to 90% of patients develop congestive heart failure and die in infancy, some pateints may present this syndrome in adolescents or adults. This anomaly was detected during elective coronary angiogram in a 63 year-old female patient with typical angina. Down-sloping ST depression was demonstrated on exercise stress ECG. Coronary angiogram and pulmonary angiogram revealed an anomalous origin of left coronary artery from pulmonary artery.
