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A unique ALCAPA variant in a neonate.

Deane E Smith1, Robert Adams, Michael Argilla

  • 1Department of Cardiothoracic Surgery, New York University-Langone Medical Center, New York, NY 10016, USA. d14.smith@gmail.com

Journal of Cardiac Surgery
|March 14, 2013
PubMed
Summary
This summary is machine-generated.

Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart defect. This case report details a unique ALCAPA variant found in a neonate with distinct coronary artery origins.

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Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly.
  • It occurs in approximately 1 in 300,000 live births.
  • ALCAPA can lead to significant morbidity and mortality in neonates if not diagnosed and treated promptly.

Purpose of the Study:

  • To report a unique variant of ALCAPA identified in a neonate.
  • To highlight the importance of recognizing atypical presentations of this anomaly.
  • To contribute to the understanding of coronary artery anomalies.

Main Methods:

  • Case presentation of a neonate diagnosed with ALCAPA.
  • Detailed description of the anomalous coronary artery anatomy.
  • Review of relevant literature on ALCAPA variants.

Main Results:

  • A unique ALCAPA variant was identified in a neonate.
  • The left anterior descending artery originated posterolaterally on the main pulmonary artery.
  • The circumflex artery originated separately from the distal right pulmonary artery.

Conclusions:

  • This case illustrates a rare variant of ALCAPA.
  • Early diagnosis and surgical correction are crucial for favorable outcomes in ALCAPA.
  • Awareness of diverse anatomical presentations is essential for pediatric cardiologists and cardiac surgeons.