Pediatric Cardiology

, Volume 34, Issue 5, pp 1283–1284 | Cite as

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

Images in Pediatric Cardiology

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 

References

  1. 1.
    Dodge-Khatami A, Mavroudis C, Backer CL (2002) Anomalous origin of the left coronary artery from the pulmonary artery: collective review of surgical therapy. Ann Thorac Surg 74:946–955PubMedCrossRefGoogle Scholar
  2. 2.
    Johnsrude CL, Perry JC, Cecchin F, Smith EO, Fraley K, Friedman RA, Towbin JA (1995) Differentiating anomalous left main coronary artery originating from the pulmonary artery in infants from myocarditis and dilated cardiomyopathy by electrocardiogram. Am J Cardiol 75:71–74PubMedCrossRefGoogle Scholar
  3. 3.
    Pfannschmidt J, Ruskowski H, de Vivie ER (1992) Bland-White-Garland syndrome: clinical aspects, diagnosis, therapy. Klin Padiatr 204:328–334PubMedCrossRefGoogle Scholar
  4. 4.
    Wesselhoeft H, Fawcett JS, Johnson AL (1968) Anomalous origin of the left coronary artery from the pulmonary trunk: its clinical spectrum, pathology, and pathophysiology, based on a review of 140 cases with seven further cases. Circulation 38:403–425PubMedCrossRefGoogle Scholar
  5. 5.
    Zhu J, Gao YH, Zhu SB, Liu Y (2012) The scimitar syndrome confirmed by 320-slice computerized tomography. Am J Cardiol 109:773PubMedCrossRefGoogle Scholar
  6. 6.
    Zhu SB, Zhu J, Xi EP, Zhang XH (2012) Descending aortic aneurysm associated with coarctation. Pediatr Cardiol. doi: 10.1007/s00246-012-0515-1

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

Personalised recommendations