45. ALCAPA syndrome: Clinical case report in adult patient
Main Article Content
Abstract
Abnormal origin of the left coronary artery from the pulmonary artery (ALCAPA syndrome) is a rare congenital heart disease, often presenting with symptoms of heart failure from birth, only a very small percentage can survive until adulthood. This report presents a case of a 29-year-old female patient, who was diagnosed based on clinical manifestations, supported by exercise electrocardiography and diagnostic imaging (echocardiography, computed tomography, and percutaneous coronary angiography). The patient had coronary artery transposition surgery at Hanoi Medical University Hospital. Through this case, we discuss diagnostic strategies and treatment options in adult patients with this rare syndrome.
Article Details
Keywords
ALCAPA, coronary artery transposition, exercise electrocardiogram
References
2. Mengyao Niu, Jing Zhang, Yanmin Ge, et al. Acute myocardial infarction in the elderly with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA): A case report and literature review. Medicine (Baltimore). 2022;101(48):e32219.
3. Amin Mahsouli, Cristina Anca Dragean. Abnormal Origin of the Left Coronary Artery: When the Bloodstream Finds its Way. J Belg Soc Radiol. 2023;107(1):26.
4. Yau JR, Singh R, Halpern EJ, et al. Anomalous origin of the left coronary artery from the pulmonary artery in adults: a comprehensive review of 151 adult cases and a new diagnosis in a 53-year-old woman. Clin. Cardiol. 2011;34:204-210.
5. Sandugash Talkhatova, Marat Aripov, et al. ALCAPA in adult asymptomatic patient: A case report. Int J Surg Case Rep. 2023;109:108521.
6. Drinković N, Margetic E, Smalcelj A, et al. Echocardiographic diagnosis of anomalous origin of the left coronary artery from the pulmonary artery. Eur J Echocardiogr. 2008;9:309-310.
7. Duan X, Yu T, Wang F, et al. Anomalous origin of the left coronary artery from the pulmonary artery in infants: imaging findings and clinical implications of cardiac computed tomography. J Comput Assist Tomogr. 2015;39:189-195.
8. Vouhé P, Raisky O. Chirurgie des anomalies congénitales des artères coronaires. EMC - Techniques chirurgicales - Thorax. 2014;9(3):1-11
9. Slobodan Micovic, Petar Milacic, et al. Surgical Reconstruction of the Anomalous Left Coronary Artery From the Pulmonary Artery. Tex Heart Inst J. 2023;50(1):e217817
10. David M Kwiatkowski, Christopher W Mastropietro, Katherine Cashen, et al. Characteristics and Surgical Outcomes of Patients With Late Presentation of Anomalous Left Coronary Artery From the Pulmonary Artery: A Multicenter Study. Semin Thorac Cardiovasc Surg. 2021;33(1):141-150.