Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Detected by Echocardiography in an Asymptomatic Adult

Zhuang Tian; Li-Gang Fang; Yong-Tai Liu; Shu-yang Zhang

doi:10.2169/internalmedicine.52.7643

CASE REPORTS

Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Detected by Echocardiography in an Asymptomatic Adult

Zhuang Tian, Li-Gang Fang, Yong-Tai Liu, Shu-yang Zhang

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Keywords: anomalous origin of the left coronary artery from the pulmonary artery, congenital heart disease, echocardiography

JOURNAL OPEN ACCESS

2013 Volume 52 Issue 2 Pages 233-236

DOI https://doi.org/10.2169/internalmedicine.52.7643

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Abstract

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital malformation. It is unusual for an ALCAPA patient to survive to adulthood. We present a case of an asymptomatic 54-year-old woman with this syndrome in which visualization of a markedly enlarged and tortuous right coronary artery and intercoronary collaterals by echocardiography raises suspicion for this disease and subsequently guides a step-by-step diagnosis. The patient lives well without surgery 3 years after diagnosis.

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