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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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A unique case of anomalous coronary origin detected by 64-row multislice computed tomography coronary angiography

B Kilicaslan1, O Ergene, C Nazli

  • 1Ataturk Research and Training Hospital, Ismir, Turkey. kilicaslanbaris@yahoo.com

Cardiovascular Journal of Africa
|September 9, 2008
PubMed

Insights

Anatomical abnormalities like anomalous left coronary artery from the right sinus of Valsalva can cause sudden death. This case highlights using treadmill tests, angiography, and CT scans to diagnose this rare condition.

Area of Science:

  • Cardiology
  • Anatomical Pathology

Background:

  • Anomalous origin of the left coronary artery from the right sinus of Valsalva (ALCAPA) is a rare congenital heart defect.
  • This condition is often linked to myocardial ischemia and sudden cardiac death, particularly in younger individuals.

Observation:

  • A patient presented with ischemic symptoms.
  • The patient was diagnosed with an anomalous left coronary artery originating from the right sinus of Valsalva, with an interarterial course between the aorta and pulmonary trunk.

Findings:

  • Conventional angiography confirmed the initial diagnosis of ALCAPA.
  • A treadmill exercise test was employed to assess for exercise-induced ischemia.
  • 64-row multislice computed tomography (CT) provided detailed visualization of the anomalous coronary artery's course.

Implications:

  • Accurate diagnosis of ALCAPA is crucial for preventing adverse cardiac events.
  • Multimodality imaging, including CT, is valuable for delineating complex coronary artery anomalies.
  • Early detection and appropriate management can significantly improve patient outcomes.

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