Anomalous left coronary artery arising from the pulmonary artery discovered beyond infancy
| Autor: | Han Li, Chu-Zhong Tang, Yi-Gang Qiu, Zhi-Chao Wang, Jian-Yong Zheng, Yu Chen, Zheng-Ming Xu, Tian-Chang Li, Jun-Hui Wang, Yi Cao |
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| Rok vydání: | 2015 |
| Předmět: |
Aorta
Mitral regurgitation medicine.medical_specialty business.industry 030204 cardiovascular system & hematology medicine.disease Shunting 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Left coronary artery 030220 oncology & carcinogenesis medicine.artery Internal medicine Pulmonary artery cardiovascular system medicine Cardiology Radiology Nuclear Medicine and imaging cardiovascular diseases Myocardial infarction Chordae tendineae Differential diagnosis business |
| Zdroj: | Journal of Clinical Ultrasound. 44:261-264 |
| ISSN: | 0091-2751 |
| DOI: | 10.1002/jcu.22314 |
| Popis: | Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a congenital heart defect rarely diagnosed beyond infancy. We present a 9-year-old girl who had once been diagnosed as congenital coronary artery fistula. Echogenic mitral chordae tendineae, multiple coronary collaterals within the ventricular septum and free ventricular wall, and a shunting flow from the left coronary artery into the pulmonary artery were prominent echocardiographic features of ALCAPA. Reimplantation of the left coronary artery directly onto the aorta achieved a favorable outcome with regression of left ventricular size and alleviation of mitral regurgitation. |
| Databáze: | OpenAIRE |
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