ALCAPA Presents in an Adult with Exercise Intolerance but Preserved Cardiac Function
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually manifests as severe left-sided heart failure and mitral valve insufficiency during the first one to two months of life. The majority of these cases die in infancy if not correcte...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2012/471759 |
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| author | Yan Liu Beth W. Miller |
| author_facet | Yan Liu Beth W. Miller |
| author_sort | Yan Liu |
| collection | DOAJ |
| description | Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually manifests as severe left-sided heart failure and mitral valve insufficiency during the first one to two months of life. The majority of these cases die in infancy if not corrected early upon presentation. Adulthood presentation is rare and most of the untreated patients who reach adulthood present with left ventricular dysfunction, severe mitral regurgitation, and sometimes myocardial infarction. Here we report a case of a 20-year-old woman with a history of exercise intolerance since childhood that was misinterpreted as asthma until a 2D-Echo revealed ALCAPA with RCA collaterals to the left anterior descending artery, preserved LV ejection fraction, and absence of apparent mitral valve abnormality. One month after the ALCAPA diagnosis, she successfully underwent surgical reconstruction of left main and pulmonary artery without any major complications. She had normal left ventricular function without apparent ischemic cardiac symptoms eighteen months after procedure. |
| format | Article |
| id | doaj-art-35d4fbf04a19430cbcba3298451017ae |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-35d4fbf04a19430cbcba3298451017ae2025-08-20T03:55:08ZengWileyCase Reports in Cardiology2090-64042090-64122012-01-01201210.1155/2012/471759471759ALCAPA Presents in an Adult with Exercise Intolerance but Preserved Cardiac FunctionYan Liu0Beth W. Miller1Department of Internal Medicine, University of Texas Southwestern Medical School Residency Programs at Austin, University Medical Center Brackenridge, 601 E 15th Street, Austin, TX 78701, USADepartment of Internal Medicine, University of Texas Southwestern Medical School Residency Programs at Austin, University Medical Center Brackenridge, 601 E 15th Street, Austin, TX 78701, USAAnomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually manifests as severe left-sided heart failure and mitral valve insufficiency during the first one to two months of life. The majority of these cases die in infancy if not corrected early upon presentation. Adulthood presentation is rare and most of the untreated patients who reach adulthood present with left ventricular dysfunction, severe mitral regurgitation, and sometimes myocardial infarction. Here we report a case of a 20-year-old woman with a history of exercise intolerance since childhood that was misinterpreted as asthma until a 2D-Echo revealed ALCAPA with RCA collaterals to the left anterior descending artery, preserved LV ejection fraction, and absence of apparent mitral valve abnormality. One month after the ALCAPA diagnosis, she successfully underwent surgical reconstruction of left main and pulmonary artery without any major complications. She had normal left ventricular function without apparent ischemic cardiac symptoms eighteen months after procedure.http://dx.doi.org/10.1155/2012/471759 |
| spellingShingle | Yan Liu Beth W. Miller ALCAPA Presents in an Adult with Exercise Intolerance but Preserved Cardiac Function Case Reports in Cardiology |
| title | ALCAPA Presents in an Adult with Exercise Intolerance but Preserved Cardiac Function |
| title_full | ALCAPA Presents in an Adult with Exercise Intolerance but Preserved Cardiac Function |
| title_fullStr | ALCAPA Presents in an Adult with Exercise Intolerance but Preserved Cardiac Function |
| title_full_unstemmed | ALCAPA Presents in an Adult with Exercise Intolerance but Preserved Cardiac Function |
| title_short | ALCAPA Presents in an Adult with Exercise Intolerance but Preserved Cardiac Function |
| title_sort | alcapa presents in an adult with exercise intolerance but preserved cardiac function |
| url | http://dx.doi.org/10.1155/2012/471759 |
| work_keys_str_mv | AT yanliu alcapapresentsinanadultwithexerciseintolerancebutpreservedcardiacfunction AT bethwmiller alcapapresentsinanadultwithexerciseintolerancebutpreservedcardiacfunction |