Unusual Cause of Mitral Regurgitation
A 1-month-old neonate was referred due to poor feeding and failure to thrive. On examination, the child had a short systolic murmur at the apex. The echocardiogram revealed moderate mitral regurgitation, hyperechoic papillary muscle, and retrograde flow from the left coronary artery (LCA) into the p...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging |
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| Online Access: | https://journals.lww.com/10.4103/jiae.jiae_46_24 |
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| author | Kader Muneer Sajeer Kalathingathodika Madurai Shanmugasundaram Shivendrran Vipin Das |
| author_facet | Kader Muneer Sajeer Kalathingathodika Madurai Shanmugasundaram Shivendrran Vipin Das |
| author_sort | Kader Muneer |
| collection | DOAJ |
| description | A 1-month-old neonate was referred due to poor feeding and failure to thrive. On examination, the child had a short systolic murmur at the apex. The echocardiogram revealed moderate mitral regurgitation, hyperechoic papillary muscle, and retrograde flow from the left coronary artery (LCA) into the pulmonary artery (PA), indicating an anomalous LCA from the PA (ALCAPA). The LCA arose from the nonfacing sinus of the PA, a rare and complex presentation, which makes surgery challenging. ALCAPA is a life-threatening condition, and early diagnosis and surgery are crucial. The child underwent successful surgery elsewhere and is stable on follow-up. |
| format | Article |
| id | doaj-art-b075e545da594a1387911b2cdbb0e47f |
| institution | OA Journals |
| issn | 2543-1463 2543-1471 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging |
| spelling | doaj-art-b075e545da594a1387911b2cdbb0e47f2025-08-20T02:32:00ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Echocardiography & Cardiovascular Imaging2543-14632543-14712025-01-0191495310.4103/jiae.jiae_46_24Unusual Cause of Mitral RegurgitationKader MuneerSajeer KalathingathodikaMadurai Shanmugasundaram ShivendrranVipin DasA 1-month-old neonate was referred due to poor feeding and failure to thrive. On examination, the child had a short systolic murmur at the apex. The echocardiogram revealed moderate mitral regurgitation, hyperechoic papillary muscle, and retrograde flow from the left coronary artery (LCA) into the pulmonary artery (PA), indicating an anomalous LCA from the PA (ALCAPA). The LCA arose from the nonfacing sinus of the PA, a rare and complex presentation, which makes surgery challenging. ALCAPA is a life-threatening condition, and early diagnosis and surgery are crucial. The child underwent successful surgery elsewhere and is stable on follow-up.https://journals.lww.com/10.4103/jiae.jiae_46_24anomalous left coronary artery from the pulmonary arterydilated right coronary arterynonfacing sinus of the pulmonary artery |
| spellingShingle | Kader Muneer Sajeer Kalathingathodika Madurai Shanmugasundaram Shivendrran Vipin Das Unusual Cause of Mitral Regurgitation Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging anomalous left coronary artery from the pulmonary artery dilated right coronary artery nonfacing sinus of the pulmonary artery |
| title | Unusual Cause of Mitral Regurgitation |
| title_full | Unusual Cause of Mitral Regurgitation |
| title_fullStr | Unusual Cause of Mitral Regurgitation |
| title_full_unstemmed | Unusual Cause of Mitral Regurgitation |
| title_short | Unusual Cause of Mitral Regurgitation |
| title_sort | unusual cause of mitral regurgitation |
| topic | anomalous left coronary artery from the pulmonary artery dilated right coronary artery nonfacing sinus of the pulmonary artery |
| url | https://journals.lww.com/10.4103/jiae.jiae_46_24 |
| work_keys_str_mv | AT kadermuneer unusualcauseofmitralregurgitation AT sajeerkalathingathodika unusualcauseofmitralregurgitation AT maduraishanmugasundaramshivendrran unusualcauseofmitralregurgitation AT vipindas unusualcauseofmitralregurgitation |