Korean Circ J.  2023 Jun;53(6):421-424. 10.4070/kcj.2022.0346.

Unusual Cause of Ischemic Heart Disease in a 34-Year Old Woman: Anomalous Left Coronary Artery From the Pulmonary Artery

• Danel A
• Suchodolski A
• Szulik M
• Głowacki J

• KMID: 2543055
• DOI: http://doi.org/10.4070/kcj.2022.0346

Figure

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  Figure 1 CCT of ALCAPA. (A, B) CCT VRT reconstruction showing the corkscrew-like widened RCA.(C-E)VRT reconstruction: LCA originating from the MPA different imaging planes.ALCAPA = Anomalous Left Coronary Artery from the Pulmonary Artery; Ao = aorta; CCT = cardiac computed tomography; LCA = left coronary artery; MPA = main pulmonary artery; RCA = right coronary artery; VRT = volume rendering technique.

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  Figure 2 Steal syndrome from LCA to the MPA visualised in multiplanar reconstruction.Ao = aorta; LCA = left coronary artery; MPA = main pulmonary artery.

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  Figure 3 Magnetic resonance with visible ALCAPA in the coronal plane.ALCAPA = Anomalous Left Coronary Artery from the Pulmonary Artery.

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  Figure 4 Late gadolinium enhancement-cardiac magnetic resonance images. Images demonstrate subendocardial scar affecting anterior, anteroseptal wall and the apex of the left ventricle (A) horizontal axis view, (B) mid-ventricular short axis view, as well as (C) the anterolateral papillary muscle.

Reference

1. Dodge-Khatami A, Mavroudis C, Backer CL. Anomalous origin of the left coronary artery from the pulmonary artery: collective review of surgical therapy. Ann Thorac Surg. 2002; 74:946–955. PMID: 12238882.

2. Peña E, Nguyen ET, Merchant N, Dennie C. ALCAPA syndrome: not just a pediatric disease. Radiographics. 2009; 29:553–565. PMID: 19325065.