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Asymptomatic young man with an incidental murmur

Maryam Shojaeifard1, Hamid Reza Pouraliakbar2, Golnaz Houshmand1

  • 1Echocardiography Department, Rajaie Cardiovascular Medical and Research Center, Tehran, Iran.

Heart (British Cardiac Society)
|June 2, 2018
PubMed

Insights

An incidental heart murmur in a blood donor led to transthoracic echocardiography and cardiac CT angiography. These imaging techniques revealed an anomalous left coronary artery from the pulmonary artery (ALCAPA) in an asymptomatic adult.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Congenital Heart Disease

Background:

  • Adult presentation of congenital heart disease is uncommon.
  • Incidental findings during routine examinations can reveal significant pathology.
  • Early diagnosis of coronary anomalies is crucial for preventing complications.

Observation:

  • A 32-year-old asymptomatic male presented with an incidental cardiac murmur.
  • Transthoracic echocardiography (TTE) and cardiac CT angiography (CTA) were performed.
  • Imaging revealed an anomalous left coronary artery originating from the pulmonary artery (ALCAPA).

Findings:

  • The patient had an anomalous left coronary artery from the pulmonary artery (ALCAPA).
  • This congenital anomaly was diagnosed using TTE and CTA.
  • The patient was asymptomatic despite the significant cardiac anomaly.

Implications:

  • Highlights the importance of investigating incidental cardiac murmurs, even in asymptomatic adults.
  • Demonstrates the utility of advanced imaging modalities like CTA in diagnosing complex congenital heart disease.
  • Underscores the potential for adult diagnosis of previously undetected congenital heart anomalies.
Abstract

Keywords:
cardiac computer tomographic (ct) imagingcardiac imaging and diagnosticscongenital heart diseaseechocardiography

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