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Two adult cases of anomalous left coronary artery from the pulmonary artery.

Authors
  • Aykan, Ahmet Cağrı
  • Yıldız, Mustafa
  • Kahveci, Gökhan
  • Ozkan, Mehmet
Type
Published Article
Journal
Türk Kardiyoloji Derneği arşivi : Türk Kardiyoloji Derneğinin yayın organıdır
Publication Date
Jan 01, 2012
Volume
40
Issue
1
Pages
48–51
Identifiers
DOI: 10.5543/tkda.2012.01605
PMID: 22395374
Source
Medline
License
Unknown

Abstract

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that presents as left-sided heart failure and mitral valve insufficiency during the first months of life. However, some cases may benefit from sufficient collateral blood supply from the right coronary artery, resulting in increased survival even to advanced ages. Herein, we report on two adult cases of ALCAPA, namely, a 52-year-old male patient that presented with angina and a 70-year-old female patient presenting with stroke, dyspnea, and pretibial edema. In both cases, ALCAPA was demonstrated by coronary angiography and multislice computed tomography angiography. The younger patient refused surgery and remained asymptomatic and event-free during a two-year follow-up with anti-ischemic medications, while the older with high surgical risk was considered for intracardiac defibrillator implantation along with medical therapy.

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