Adult Presentation of Anomalous Left Coronary Artery from the Pulmonary Artery with Severe Mitral Valve Regurgitation from Flail Posterior Leaflet
Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary anomaly, which usually presents in infancy, and survival to adulthood is very rare, around 10–15%. We report a 46-year-old female with no risk factors, who presented with a history suggestive of acute lef...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-12-01
|
| Series: | Journal of the Practice of Cardiovascular Sciences |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jpcs.jpcs_44_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841540137096314880 |
|---|---|
| author | Digvijay D Nalawade Prakyath Shetty Anirudha Sadgir Sanket Bari |
| author_facet | Digvijay D Nalawade Prakyath Shetty Anirudha Sadgir Sanket Bari |
| author_sort | Digvijay D Nalawade |
| collection | DOAJ |
| description | Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary anomaly, which usually presents in infancy, and survival to adulthood is very rare, around 10–15%. We report a 46-year-old female with no risk factors, who presented with a history suggestive of acute left heart failure of two weeks duration. Echocardiography revealed acute severe mitral regurgitation (MR) with flail posterior mitral leaflet (PML) due to chordae tendinae rupture (CTR) with normal left ventricular function and dimensions. There were no features suggestive of infective endocarditis, rheumatic or myxomatous affection of mitral valve. During preoperative workup, coronary angiography revealed the presence of ALCAPA which was confirmed by computed tomography. The patient underwent successful surgical repair of ALCAPA along with mitral valve replacement. The case underscores unusual association of ALCAPA in an adult age with acute severe MR secondary to flail PML due to CTR with a possible ischemic causal relationship. |
| format | Article |
| id | doaj-art-9a7ace7a97554fd2941a4645fb60acc3 |
| institution | Kabale University |
| issn | 2395-5414 2454-2830 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Practice of Cardiovascular Sciences |
| spelling | doaj-art-9a7ace7a97554fd2941a4645fb60acc32025-01-14T05:56:04ZengWolters Kluwer Medknow PublicationsJournal of the Practice of Cardiovascular Sciences2395-54142454-28302024-12-0110318518810.4103/jpcs.jpcs_44_24Adult Presentation of Anomalous Left Coronary Artery from the Pulmonary Artery with Severe Mitral Valve Regurgitation from Flail Posterior LeafletDigvijay D NalawadePrakyath ShettyAnirudha SadgirSanket BariAnomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary anomaly, which usually presents in infancy, and survival to adulthood is very rare, around 10–15%. We report a 46-year-old female with no risk factors, who presented with a history suggestive of acute left heart failure of two weeks duration. Echocardiography revealed acute severe mitral regurgitation (MR) with flail posterior mitral leaflet (PML) due to chordae tendinae rupture (CTR) with normal left ventricular function and dimensions. There were no features suggestive of infective endocarditis, rheumatic or myxomatous affection of mitral valve. During preoperative workup, coronary angiography revealed the presence of ALCAPA which was confirmed by computed tomography. The patient underwent successful surgical repair of ALCAPA along with mitral valve replacement. The case underscores unusual association of ALCAPA in an adult age with acute severe MR secondary to flail PML due to CTR with a possible ischemic causal relationship.https://journals.lww.com/10.4103/jpcs.jpcs_44_24anomalous left coronary artery from the pulmonary arterychordae tendinae rupturemitral regurgitation |
| spellingShingle | Digvijay D Nalawade Prakyath Shetty Anirudha Sadgir Sanket Bari Adult Presentation of Anomalous Left Coronary Artery from the Pulmonary Artery with Severe Mitral Valve Regurgitation from Flail Posterior Leaflet Journal of the Practice of Cardiovascular Sciences anomalous left coronary artery from the pulmonary artery chordae tendinae rupture mitral regurgitation |
| title | Adult Presentation of Anomalous Left Coronary Artery from the Pulmonary Artery with Severe Mitral Valve Regurgitation from Flail Posterior Leaflet |
| title_full | Adult Presentation of Anomalous Left Coronary Artery from the Pulmonary Artery with Severe Mitral Valve Regurgitation from Flail Posterior Leaflet |
| title_fullStr | Adult Presentation of Anomalous Left Coronary Artery from the Pulmonary Artery with Severe Mitral Valve Regurgitation from Flail Posterior Leaflet |
| title_full_unstemmed | Adult Presentation of Anomalous Left Coronary Artery from the Pulmonary Artery with Severe Mitral Valve Regurgitation from Flail Posterior Leaflet |
| title_short | Adult Presentation of Anomalous Left Coronary Artery from the Pulmonary Artery with Severe Mitral Valve Regurgitation from Flail Posterior Leaflet |
| title_sort | adult presentation of anomalous left coronary artery from the pulmonary artery with severe mitral valve regurgitation from flail posterior leaflet |
| topic | anomalous left coronary artery from the pulmonary artery chordae tendinae rupture mitral regurgitation |
| url | https://journals.lww.com/10.4103/jpcs.jpcs_44_24 |
| work_keys_str_mv | AT digvijaydnalawade adultpresentationofanomalousleftcoronaryarteryfromthepulmonaryarterywithseveremitralvalveregurgitationfromflailposteriorleaflet AT prakyathshetty adultpresentationofanomalousleftcoronaryarteryfromthepulmonaryarterywithseveremitralvalveregurgitationfromflailposteriorleaflet AT anirudhasadgir adultpresentationofanomalousleftcoronaryarteryfromthepulmonaryarterywithseveremitralvalveregurgitationfromflailposteriorleaflet AT sanketbari adultpresentationofanomalousleftcoronaryarteryfromthepulmonaryarterywithseveremitralvalveregurgitationfromflailposteriorleaflet |