Incidental finding of the anomalous origin of left main coronary artery from pulmonary artery in an adult presenting with arrhythmia induced myocardial ischemia.
Anomalous origin of the left main coronary artery from pulmonary artery (ALCAPA) is a rare congenital coronary anomaly with high mortality. It is associated with cardiovascular complications and is usually diagnosed soon after birth. Those who survive into adulthood can present with signs of myocardial infarction, heart failure, mitral regurgitation, severe pulmonary hypertension or sudden cardiac death. We present a 53-year old adult presenting in atrial fibrillation found to have an incidental diagnosis of ALCAPA who refused surgical correction. We also review the epidemiology, diagnosis, age based clinical presentations and treatment options for ALCAPA.
Published In/Presented At
Patil, S. Shah, M. Patel, B. Garg, L. Jacobs, L. E., Islam, N. Martinez, M. W. (2018). Incidental finding of the anomalous origin of left main coronary artery from pulmonary artery in an adult presenting with arrhythmia induced myocardial ischemia.
Cardiology | Medical Sciences | Medicine and Health Sciences
Department of Medicine, Cardiology Division, Department of Medicine Faculty, Department of Medicine Fellows and Residents