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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)
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Arcade mitral valve and anomalous left coronary artery originating from the pulmonary artery

I C Balfour1, K Tinker, C Marino

  • 1Division of Cardiology, Department of Pediatrics, Saint Louis University Health Sciences Center, Missouri 63104, USA. Balfoui@slu.edu

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
|June 8, 2001
PubMed

Insights

Color Doppler imaging enhances coronary artery anatomy evaluation. This technique successfully identified a rare coronary anomaly and arcade mitral valve in a challenging case.

Area of Science:

  • Cardiovascular Imaging
  • Echocardiography
  • Congenital Heart Disease

Background:

  • Accurate assessment of coronary artery anatomy is crucial for diagnosing congenital heart defects.
  • Two-dimensional echocardiography can face limitations in visualizing complex coronary anomalies.
  • Color Doppler interrogation offers advanced capabilities for hemodynamic and anatomical evaluation.

Observation:

  • A patient presented with a complex coronary artery anomaly where the left coronary artery originated abnormally from the pulmonary artery.
  • This anomaly was particularly challenging to delineate using standard 2D imaging techniques.
  • The patient also exhibited an arcade mitral valve, adding to the complexity of the cardiac presentation.

Findings:

  • Color Doppler interrogation significantly improved the accuracy in evaluating the patient's coronary artery anatomy.
  • The technique clearly delineated the anomalous origin of the left coronary artery from the pulmonary artery.
  • The combined findings highlighted the utility of color Doppler in diagnosing intricate cardiovascular malformations.

Implications:

  • Enhanced diagnostic accuracy for complex coronary artery anomalies using color Doppler echocardiography.
  • Improved detection rates for rare congenital heart conditions.
  • Potential for earlier and more precise diagnosis, leading to better patient management strategies for coronary artery anomalies and associated valvular conditions.

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