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Updated: Aug 24, 2026

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)

Published on: April 24, 2017

[Congenital coronary aneurysm. Three case reports]

Aïda Mokaddem1, Badi Darghouth, Wicem Sdiri

  • 1Service de cardiologie, Hôpital Mongi Slim, La Marsa, Tunis.

La Tunisie Medicale
|May 7, 2004
PubMed

Insights

Congenital coronary aneurysms are rare heart conditions. Prompt diagnosis and treatment, including surgical exclusion and bypass, improve outcomes, especially when thrombosis is absent.

Area of Science:

  • Cardiovascular Medicine
  • Pediatric Cardiology
  • Anatomical Pathology

Context:

  • Congenital coronary aneurysms (CCAs) represent uncommon anatomical variations.
  • Prognosis is significantly influenced by the presence or absence of thrombosis within the aneurysm.
  • Diagnosis can occur following significant cardiac events like myocardial infarction.

Purpose:

  • To elucidate the clinical features of congenital coronary aneurysms.
  • To define the prognostic factors associated with CCAs.
  • To outline contemporary management strategies for CCAs.

Summary:

  • This study presents three cases of congenital coronary aneurysms.
  • One case involved diagnosis post-myocardial infarction.
  • Two patients underwent successful surgical exclusion and coronary bypass; one received medical management.

Impact:

  • Highlights the importance of early diagnosis and intervention in CCAs.
  • Provides insights into surgical and medical treatment options.
  • Contributes to understanding the natural history and optimal care pathways for CCAs.

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