Korean J Med.  2005 May;68(5):566-570.

A case of anomalous origin of left coronary artery from the pulmonary artery: Report of an adult case

• Kim HJ
• Lee SW
• Kim SJ
• Seo JH
• Kim SH
• Cha TJ
• Lee JW

Abstract

Anomalous origin of the left coronary artery from pulmonary artery was first described in a child by Brooks. This ALCAPA syndrome is a rare congenital anomaly occuring in approximately 0.25~0.50% of children having congenital heart disease. Although approximately 80 to 90% of patients develop congestive heart failure and die in infancy, some pateints may present this syndrome in adolescents or adults. This anomaly was detected during elective coronary angiogram in a 63 year-old female patient with typical angina. Down-sloping ST depression was demonstrated on exercise stress ECG. Coronary angiogram and pulmonary angiogram revealed an anomalous origin of left coronary artery from pulmonary artery.

Keyword

Coronary disease; Coronary angiography; Congenital abnormalities

MeSH Terms

Adolescent
Adult*
Bland White Garland Syndrome
Child
Congenital Abnormalities
Coronary Angiography
Coronary Disease
Coronary Vessels*
Depression
Electrocardiography
Female
Heart Defects, Congenital
Heart Failure
Humans
Middle Aged
Pulmonary Artery*