Korean Circ J.  2005 Jan;35(1):84-87. 10.4070/kcj.2005.35.1.84.

Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in an Elderly Patient Visualized by Three-Dimensional Multidetector Computed Tomograph Coronary Angiography

• Rha SW
• Park CG
• Yong HS
• Suh SY
• Moon SK
• Hong SJ
• Kim JW
• Seo HS
• Oh DJ
• Ro YM

• KMID: 2093916
• DOI: http://doi.org/10.4070/kcj.2005.35.1.84

Abstract

An anomalous origin of the left coronary artery (LCA )from the pulmonary artery (ALCAPA syndrome )or Bland-White-Garland syndrome is a rare congenital cardiac anomaly. We report a 65-year old female patient who presented with atypical chest discomfort. Coronary angiography and three-dimensional multidetector computed tomography coronary angiography demonstrated the ectatic right coronary artery (RCA )arising from the aorta, rich collaterals from the RCA to LCA and the ectatic tortuous LCA that originated from the pulmonary trunk.

Keyword

Anomalous origin of left coronary artery from artery; Coronary vessel anomalies; Collateral circulation

MeSH Terms

Aged*
Aorta
Bland White Garland Syndrome
Collateral Circulation
Coronary Angiography*
Coronary Vessel Anomalies
Coronary Vessels*
Female
Humans
Multidetector Computed Tomography
Pulmonary Artery*
Thorax