Origin of left coronary artery from right pulmonary artery co-existing with coarctation of the aorta

The Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA) in Senegal

“…ALCAPA is certainly a rare malformation but it is not exceptional as it occurs in 1/30,000 living birth [1]. Like our 3 cases, it often happens as an isolate malformation except some few series that reported ALCAPA in association with coarctation of aorta [4]. The 3 cases were all aged less than 1 year old when the diagnosis was made; 2 of them were successfully operated but the third child is still waiting for surgical repair.…”

Anomalous origin of the left coronary artery from the right pulmonary artery with intramural aortic trajectory. Clinicosurgical diagnostic implications

“…AOLCAPA is rarely associated with other cardiac defects, except when the origin is the RPA, a very rare anatomical situation. Of the 20 cases of AOLCARPA reported in the literature [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] (table I), 14 had associated defects [3][4][5][8][9][10]13,14,16,[18][19][20][21] , half of which were coarctation of the aorta 5,8,10,13,20 . Interventricular septal defect 4,14 and tetralogy of Fallot 3,21 were also observed.…”

“…AOLCAPA is rarely associated with other congenital defects, unless the right pulmonary artery (RPA) takes part in the anomaly. The presence of associated defects in 70% of the 20 cases of origin of the left coronary artery from the RPA reported in the literature is well known [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] (table I).…”

Congenital Left Ventricular Splint in an Adult Patient with Unrepaired Anomalous Left Coronary Artery from the Pulmonary Artery

“…While extremely rare, ALCAPA has been associated with coarctation of the aorta. In these case reports, this anatomic constellation delayed the presentation of myocardial ischemia 4 …”