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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

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Aberrant origin of the left coronary artery from the right aortic sinus: surgical intervention based on

S B Jureidini1, G K Singh, C J Marino

  • 1Departments of Pediatrics and Cardiovascular Surgery, Saint Louis University School of Medicine/Cardinal Glennon Children's Hospital, Missouri 63104, USA.

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
|December 19, 2000
PubMed

Insights

A rare coronary artery anomaly caused a teen athlete to faint during exercise. Echocardiography successfully diagnosed the condition, enabling life-saving surgery.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Congenital Heart Disease

Background:

  • Congenital coronary artery anomalies are rare but can cause significant cardiac events.
  • Aberrant origin of the left coronary artery from the right coronary sinus is a high-risk anomaly.
  • Exercise-induced syncope in young athletes warrants thorough cardiac investigation.

Observation:

  • A 15-year-old female athlete experienced syncope during physical exertion.
  • Initial investigations revealed an aberrant left coronary artery originating from the right coronary sinus.
  • Trans-thoracic echocardiography provided a definitive diagnosis of the coronary anomaly.

Findings:

  • Trans-thoracic echocardiography was the key diagnostic modality.
  • Magnetic resonance imaging and selective coronary angiography yielded inconclusive results.
  • Surgical correction was successfully performed based on echocardiographic findings.

Implications:

  • Early and accurate diagnosis of coronary artery anomalies is crucial for preventing sudden cardiac death.
  • Echocardiography plays a vital role in diagnosing complex coronary artery anomalies.
  • Timely surgical intervention can significantly improve outcomes for patients with high-risk coronary anomalies.

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