Anomalous left coronary artery from pulmonary artery (ALCAPA) in an adult

Raghuram, Arani Raghavendrarao; Krishnan, Ramiah; Kumar, Subbiah; Balamurugan, Kathamuthu; Anand, Nithyanandam Dilip

doi:10.1007/s12055-004-0092-x

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…Daha ileri yaşlarda büyüme ve gelişme geriliği, sol ventrikül kasılma bozukluğu ve ilerleyici genişleme nedeniyle taşikardi, pulmoner venöz konjesyon nedeniyle dispne, sistemik venöz konjesyon nedeniyle karaciğer büyüklüğü saptanabilir (9). Kollateral arterlerin iyi gelişmesi sayesinde hastaların az bir kısmı ergenlik dönemi ve erişkin yaşa ulaşırken, hastaların %85 kadarı yetersiz kollateraller nedeniyle ilk bir yaşta kaybedilmektedir (10)(11)(12)(13). Olgumuzda bu klinik belirtilerden hiçbiri saptanmamıştır.…”

Section: Discussionunclassified

Pulmoner arterden kaynaklanan sol koroner arter anomalisi (ALCAPA) olan 11 yaşında yakınmasız olgu

Koca¹,

Saltık²,

Eroğlu³

2012

Tpa

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Türk Pe di at ri Ar şi vi Der gi si, Ga le nos Ya yı ne vi ta ra fın dan ba sıl mış tır. / Tur kish Arc hi ves of Pe di at rics, pub lis hed by Ga le nos Pub lis hing Pulmoner arterden kaynaklanan sol koroner arter anomalisi (ALCAPA) olan 11 yaşında yakınmasız olgu Anomalous left coronary artery from pulmonary artery (ALCAPA) in asymptomatic 11-year-old case Ya z›fl ma Ad re si/Ad dress for Cor res pon den ce: Dr. Bülent Koca, İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Kardiyoloji Bilim Dalı, İstanbul, Türkiye E-pos ta: bkoca78@yahoo.com Ge lifl Ta ri hi/Re cei ved: 31.05.2011 Ka bul Ta ri hi/Ac cep ted: 10.08.2011 Ol gu Su nu mu Ca se Re port Özet Pulmoner arterden çıkan anormal sol koroner arter ["Anomalous origin of the Left Coronary Artery from the Pulmonary Artery" (ALCAPA)] nadir görülen bir doğuştan kalp anomalisidir. Süt çocukları ve çocuklarda ALCAPA miyokardiyal iskemi veya infarktüsün sık karşılaşılan sebeplerinden birisidir. Bu makalede hastanemize üfürüm duyulması nedeniyle başvuran ve ekokardiyografik olarak dilate kardiomyopati ve kateter-anjiyografisinde sol koroner arterin pulmoner arterden köken aldığı görülen 11 yaşındaki bir hastamız sunulmuştur. (Türk Ped Arfl 2012; 47: 298-301) Anah tar söz cük ler: ALCAPA, ekokardiyografi, koroner arter anomalisi Sum maryOrigin of the left coronary artery from the pulmonary trunk [Anomalous origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA)] is a rare congenital heart defect. ALCAPA is one of the common causes of myocardial ischemia or infarction in infants and children. In this report, we present an eleven-years-old patient presenting with murmur and accompanied by echocardiographic findings of dilated cardiomyopathy and angiocardiographic investigation that revealed left coronary artery originating from the pulmonary artery. (Turk Arch Ped 2012; 47: 298-301)

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Section: Discussionunclassified

Pulmoner arterden kaynaklanan sol koroner arter anomalisi (ALCAPA) olan 11 yaşında yakınmasız olgu

Koca¹,

Saltık²,

Eroğlu³

2012

Tpa

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“…In early infancy, as the pulmonary artery pressure drops, flow within the left coronary artery becomes retrograde and empties into the pulmonary artery. This creates a left-to-right shunt across the coronary circulation, with resultant coronary steal and myocardial ischemia in the left coronary artery territory (47).…”

Section: Anomalous Left Coronary Artery From the Pulmonary Arterymentioning

confidence: 99%

“…However, they develop chronic left ventricular subendocardial ischemia that eventually leads to malignant ventricular dysrhythmias and sudden death (49). Diagnosis can be made with echocardiography by demonstrating a dilated right coronary artery, retrograde flow within the anomalous left coronary artery into the pulmonary artery, and possibly left ventricular dilatation and hypokinesis (1,47). In adults, extensive intercoronary collaterals are also present ( Fig 10); collaterals occasionally develop between the coronary and bronchial arteries (48).…”

Section: Teaching Pointmentioning

confidence: 99%

Nonsurgical Extracardiac Vascular Shunts in the Thorax: Clinical and Imaging Characteristics

Martínez-Jiménez¹,

Heyneman²,

McAdams³

et al. 2010

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Extracardiac nonsurgical vascular shunts in the thorax are a group of well-recognized heterogeneous conditions, frequently symptomatic, in which there is diversion of blood flow from one vessel to another or from a vessel to a cardiac chamber. The authors describe and classify many of these nonsurgical extracardiac shunts or fistulas according to their source and endpoint (eg, systemic-to-systemic, systemic-to-pulmonic, pulmonic-to-systemic, and pulmonic-to-pulmonic) and to whether the oxygenated blood mixes with deoxygenated systemic venous flow (left-to-right shunts), deoxygenated blood bypasses the pulmonary capillary bed (right-to-left shunts), or oxygenated blood recirculates (left-to-left shunts). Clinical manifestations and imaging appearances of these conditions are highlighted.

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Coronary Artery Anomalies

Crean¹

2018

Congenital Heart Diseases in Adults

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Anomalous left coronary artery from pulmonary artery (ALCAPA) in an adult

Cited by 5 publications

References 12 publications

Pulmoner arterden kaynaklanan sol koroner arter anomalisi (ALCAPA) olan 11 yaşında yakınmasız olgu

Pulmoner arterden kaynaklanan sol koroner arter anomalisi (ALCAPA) olan 11 yaşında yakınmasız olgu

Nonsurgical Extracardiac Vascular Shunts in the Thorax: Clinical and Imaging Characteristics

Coronary Artery Anomalies

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