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

Images in Pediatric Cardiology

DOI: 10.1007/s00246-012-0594-z

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


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.


Anomalous left coronaryImagingSurgery

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  1. 1.Department of Thoracic Cardiovascular SurgeryWuhan General Hospital of Guangzhou CommandWuhanPeople’s Republic of China
  2. 2.Southern Medical UniversityGuangzhouPeople’s Republic of China