Pediatric Cardiology

, Volume 34, Issue 5, pp 1283–1284

Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery Confirmed by 320-Slice Computed Tomography

Authors

  • Jian Zhu
    • Department of Thoracic Cardiovascular SurgeryWuhan General Hospital of Guangzhou Command
    • Southern Medical University
  • Yong Liu
    • Department of Thoracic Cardiovascular SurgeryWuhan General Hospital of Guangzhou Command
    • Department of Thoracic Cardiovascular SurgeryWuhan General Hospital of Guangzhou Command
    • Southern Medical University
  • Yu Zhang
    • Department of Thoracic Cardiovascular SurgeryWuhan General Hospital of Guangzhou Command
Images in Pediatric Cardiology

DOI: 10.1007/s00246-012-0594-z

Cite this article as:
Zhu, J., Liu, Y., Zhu, S. et al. Pediatr Cardiol (2013) 34: 1283. doi:10.1007/s00246-012-0594-z

Abstract

Anomalous origin the left coronary artery from the pulmonary artery (ALCAPA) is an extremely rare congenital coronary abnormality that may be difficult to diagnose by echocardiography. Most patients present with a potentially fatal illness leading to sudden cardiac death during infancy. This report describes a 15-year-old girl who had 15-year history of cardiac murmur but with no clinical symptoms. Echocardiographic examination was normal, but a 320-slice computed tomographic (CT) scan showed the anomalous origin of the left coronary artery form the pulmonary artery. This case demonstrates that the 320-slice CT scan is a sensitive and reliable technique for establishing the diagnosis of ALCAPA in both symptomatic and asymptomatic patients when it cannot be visualized by echocardiography.

Keywords

Anomalous left coronary Imaging Surgery

Copyright information

© Springer Science+Business Media New York 2012