medigraphic.com
ISSN 1561-2937 (Print)

2022, Number 1

<< Back Next >>

Rev Cubana Cardiol Cir Cardiovasc 2022; 28 (1)

Unsuspected anomalous left coronary origin from main pulmonary artery in a young adult

Martínez GA, Marcos GY, Zorio VBY, Pérez BA, Bencomo RL, Hechavarría PS

Language: Spanish
References: 17
Page: 1-5
PDF size: 337.07 Kb.


ABSTRACT

Anomalous left coronary origin from main pulmonary artery is a rare congenital defect. Generally detected in infants, it is less common in adults, and its prognosis varies considerably if the diagnosis and surgical treatment are performed in a timely manner. Non-invasive imaging techniques have made it possible to improve its identification. This presentation is intended to broaden the knowledge of the peculiarities of anomalous left coronary artery from the pulmonary artery syndrome (ALCAPA) in adults. The case of a young patient with exertional dyspnea is reported here and, with no clinical suspicion, marked coronary dilations derived from the anomalous origin of the left coronary artery are evident. Tomography angiography has become the diagnostic modality of choice for evaluation coronary anomalies, by allowing their identification, the accompanying alterations and other associated anomalies. Every report of ALCAPA syndrome allows us to provide data that make it possible to expand knowledge about this unusual but lethal coronary anomaly.


REFERENCES

  1. Céspedes Almira M, González Morejón A, Serrano Ricardo G. Origen anómalo de la arteria coronaria izquierda a partir de la arteria pulmonar. Rev Cuba Pediatr [Internet]. 2020 [acceso: 06/11/2021];92(2): e808. Disponible en: http://www.revpediatria.sld.cu/index.php/ped/article/view/808/587

  2. Rodríguez Blanco S, Leyva Quert A, Valdés Recarey M, Mendoza Ortiz J, Ponte González G, Aguilar Medina J, et al. Diagnóstico angiográfico de síndrome de ALCAPA en el adulto. CorSalud [Internet]. 2015 Dic [acceso: 06/11/2021];7(4):318-21. Disponible en: http://www.revcorsalud.sld.cu/index.php/cors/article/view/80/165

  3. Hernández Hernández J, Guzmán Ramírez D, Enriquez Rodríguez R. Anomalías de arterias coronarias. Evaluación por angiotomografía cardíaca multidetector y otras técnicas de imagen cardíaca. RETIC [Internet]. 2017 [acceso: 16/11/2021];5:13-21. Disponible en: https://ecocardio.com/documentos/retic-web/1947-anomalias-de-arterias-coronarias-evaluacion-por-angiotomografia-cardiaca-multidetector-y-otras-tecnicas-de-imagen-cardiaca.html

  4. Narula J, Chandrashekhar Y, Ahmadi A, Abbara S, Berman D, Blankstein R, et al. SCCT 2021 Expert Consensus Document on Coronary Computed Tomographic Angiography: A Report of the Society of Cardiovascular Computed Tomography. J Cardiovasc Comput Tomogr [Internet]. 2021 [acceso: 28/15/2021];15:192-217. Available from: https://www.journalofcardiovascularct.com/article/S1934-5925(20)30473-1/fulltext.

  5. Laïk J, Fouilloux V, Aldebert P, Koutbi L, Hourdain J, De Swardt P, et al. Anomalous Left Coronary Artery Connected to the Pulmonary Artery in a 15-Year-Old Girl: Case Report and Discussion on Secondary Prevention of Sudden Death. Case Rep Cardiol [Internet]. 2021 Aug [acceso: 06/11/2021];2021: 7198667. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8426061/

  6. Boutsikou M, Shore D, Li W, Rubens M, Pijuan A, Gatzoulis M, et al. Anomalous Left Coronary Artery from the Pulmonary Artery (ALCAPA) diagnosed in adulthood: Varied Clinical Presentation, Therapeutic Approach and Outcome. Int J Cardiol [Internet]. 2018 Jun [acceso: 06/11/2021];261:49-53. Available from: https://www.internationaljournalofcardiology.com/article/S0167-5273(18)31131-8/pdf

  7. Vargas Vergara D, Heredia F, Arias Barrera C, Castellanos Parada J, Pabón Enciso H, Otálora Mancilla D. Descripción de dos casos de síndrome de ALCAPA. Rev Colomb Cardiol [Internet]. 2021 [acceso: 06/11/2021];28(1):98-101. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-56332021000100098

  8. Zou J, Gao Y, Huang B, Luo J, Jiang Y, Lu R, et al. The diagnostic value of dynamic volume computed tomography angiography in children with anomalous origin of the left coronary artery from the pulmonary artery. Am J Transl Res [Internet]. 2021 [acceso: 06/11/2021];13(9):10348-55. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8506984/.

  9. Sadoma D, Valente C, Sigal A. Anomalous Left Coronary Artery From The Pulmonary Artery (ALCAPA) as a Cause of Heart Failure. Am J Case Rep [Internet]. 2019 [cited 2021 Nov 6];20:1797-800. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6913289/

  10. Tomoaia R, Molnar A, Beyer R, Dădârlat-Pop A, Frîngu F, Gurzău D, et al. The role of multimodal imaging in the diagnosis of an asymptomatic patient with congenital anomaly. Med Ultrason [Internet]. 2021 [acceso: 06/11/2021];23(2):231-4. Available from: https://www.medultrason.ro/medultrason/index.php/medultrason/article/view/2325/1786

  11. de Campos D, Puga L, Guardado J, Saleiro C, Lopes J, Teixeira R. Síndrome de ALCAPA em uma Mulher Jovem. Arq Bras Cardiol Imagem Cardiovasc [Internet]. 2021 [acceso: 06/11/2021];34(1):eabc129. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1254158

  12. Atik E, Kligerman O, Kajita L. Origem Anômala da Artéria Coronária Esquerda do Tronco Pulmonar, em Evolução Natural em Adulta Assintomática de 75 Anos. Arq Bras Cardiol [Internet]. 2020 [acceso: 06/11/2021];114(Supl 1):40-2. Available from: https://www.scielo.br/j/abc/a/kt67wfhZ4m3MHZBgq95HXRb/?lang=pt

  13. Cankurt T, Acar B, Aydin S, Maden O. ALCAPA Syndrome and Atrial Septal Defect In a 68-Year-Old Woman: An Extremely Rare Congenital Association. Acta Cardiol Sin [Internet]. 2017 Jul [acceso: 17/11/2021];33(4):447-9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5534426/

  14. Alsamman M, Tuna K, Dunn S, Rifai F, Reed J. Adult Anomalous Left Coronary Artery Arising from the Pulmonary Artery (ALCAPA) Syndrome as First Presentation with Atrial Fibrillation in a Marathon Runner. Cereus [Internet]. 2021 [acceso: 06/11/2021];13(5):e15354. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244924/

  15. Masood G, Rizwan A. Incidental Discovery of Anomalous Left Coronary Artery Arising from the Pulmonary Artery in a Coronavirus Disease-2019 Patient: A Blessing in Disguise. J Saudi Heart Assoc [Internet]. 2020 [acceso: 06/11/2021];32(3):365-8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7721445/

  16. Shanmugam G, McLennan A, Pollock J, MacArthur K. Anomalous Left Coronary Artery, Ventricular Septal Defect, and Double Aortic Arch. Ann Thorac Surg [Internet]. 2005 Jul [acceso: 16/11/2021];80(1):334-6. Available from: https://www.annalsthoracicsurgery.org/article/S0003-4975(04)00228-0/fulltext

  17. Stout K, Daniels C, Aboulhosn J, Bozkurt B, Broberg C, Colman J, et al. 2018 AHA/ACC Guideline for the Management of Adults with Congenital Heart Disease. A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation [Internet]. 2019 [acceso: 10/11/2021];139: e698-800. Available from: https://www.ahajournals.org/doi/epub/10.1161/CIR.0000000000000603




2020     |     www.medigraphic.com