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Late presentation of ALCAPA syndrome in an elderly Asian lady

K L Yew1, Z Kang2, A Anum2

  • 1Sarawak Heart Center, Cardiology Department, Kota Samarahan, 94300 Sarawak, Malaysia. yewkuanleong@yahoo.com.

The Medical Journal of Malaysia
|October 23, 2016
PubMed

Insights

Coronary artery anomalies, often found incidentally, involve unusual origins or courses of heart arteries. These congenital conditions can be linked to other heart defects.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Medical Imaging

Background:

  • Coronary artery anomalies are variations in the normal anatomy of the heart's arteries.
  • These anomalies are frequently identified as incidental findings during diagnostic procedures.

Observation:

  • Common diagnostic methods include cardiac catheterization and computed tomography coronary angiography.
  • Anomalies can affect the origin, course, or both of the coronary arteries.

Findings:

  • Observed anomalies include high take-off origins, origins from incorrect sinuses (contralateral or non-coronary), and origin from the pulmonary artery.
  • Other variations include single coronary systems and coronary artery fistulas.

Implications:

  • Coronary artery anomalies are frequently associated with congenital heart disease.
  • Understanding these variations is crucial for accurate diagnosis and management of cardiac conditions.

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