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Antegrade flow in Anomalous Left Coronary Artery from Pulmonary Artery: Clinical implications.

Sedky Y, Hosny H, Donya M, AbdElsalam S, Yacoub M - Glob Cardiol Sci Pract (2014)

Bottom Line: Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually presents in childhood.This ischemia results from retrograde flow into the pulmonary artery which can act as a coronary steal.We here report antegrade flow detected in ALCAPA caused by severe pulmonary hypertension.

View Article: PubMed Central - PubMed

Affiliation: Division of Pediatric Cardiology, Aswan Heart Center, Aswan, Egypt.

ABSTRACT
Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually presents in childhood. It results in left ventricular (LV) ischemia with resulting LV dysfunction. This ischemia results from retrograde flow into the pulmonary artery which can act as a coronary steal. We here report antegrade flow detected in ALCAPA caused by severe pulmonary hypertension. Anatomic correction of ALCAPA is the preferred surgical option and should be performed as early as possible.

No MeSH data available.


Related in: MedlinePlus

Two-dimensional color flow Doppler echocardiography shows the presence of an abnormal mitral valve with severe MR.
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fig2: Two-dimensional color flow Doppler echocardiography shows the presence of an abnormal mitral valve with severe MR.

Mentions: Two-dimensional color flow Doppler echocardiography revealed the presence of an abnormal mitral valve (Figure 1). The leaflets were thickened and dysplastic. The mitral annulus was significantly dilated. There was a central cooptation gap and severe MR (Figure 2). The LV was dilated with an ejection fraction of 56% and left atrial (LA) enlargement. The systolic pulmonary artery pressure was estimated to be 65 mmHg. The origin of the left main coronary artery (LMCA) seemed to arise from the pulmonary artery (PA), however there was antegrade flow in the coronaries (Figure 3).


Antegrade flow in Anomalous Left Coronary Artery from Pulmonary Artery: Clinical implications.

Sedky Y, Hosny H, Donya M, AbdElsalam S, Yacoub M - Glob Cardiol Sci Pract (2014)

Two-dimensional color flow Doppler echocardiography shows the presence of an abnormal mitral valve with severe MR.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4352684&req=5

fig2: Two-dimensional color flow Doppler echocardiography shows the presence of an abnormal mitral valve with severe MR.
Mentions: Two-dimensional color flow Doppler echocardiography revealed the presence of an abnormal mitral valve (Figure 1). The leaflets were thickened and dysplastic. The mitral annulus was significantly dilated. There was a central cooptation gap and severe MR (Figure 2). The LV was dilated with an ejection fraction of 56% and left atrial (LA) enlargement. The systolic pulmonary artery pressure was estimated to be 65 mmHg. The origin of the left main coronary artery (LMCA) seemed to arise from the pulmonary artery (PA), however there was antegrade flow in the coronaries (Figure 3).

Bottom Line: Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually presents in childhood.This ischemia results from retrograde flow into the pulmonary artery which can act as a coronary steal.We here report antegrade flow detected in ALCAPA caused by severe pulmonary hypertension.

View Article: PubMed Central - PubMed

Affiliation: Division of Pediatric Cardiology, Aswan Heart Center, Aswan, Egypt.

ABSTRACT
Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually presents in childhood. It results in left ventricular (LV) ischemia with resulting LV dysfunction. This ischemia results from retrograde flow into the pulmonary artery which can act as a coronary steal. We here report antegrade flow detected in ALCAPA caused by severe pulmonary hypertension. Anatomic correction of ALCAPA is the preferred surgical option and should be performed as early as possible.

No MeSH data available.


Related in: MedlinePlus