Author/Authors :
Al-Dairy, Alwaleed Department of Cardiovascular Surgery, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, , Gholampour Dehaki, Maziar Department of Cardiovascular Surgery, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, , Rezaei, Yousef Heart Valve Disease Research Center - Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, , Alizadeh Ghavidel, Alireza Heart Valve Disease Research Center - Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran , Sadeghpour, Anita Echocardiography Research Center - Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran , Totonchi, Zia Department of Cardiac Anesthesia - Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran
Abstract :
Anomalous origin of the left coronary artery from the pulmonary
artery (ALCAPA) is a rare congenital cardiac malformation.
We report three cases of ALCAPA who survived to adulthood.
The first case was a 51-year-old woman who complained of
typical chest pain that was diagnosed with ALCAPA using
cardiac catheterization and coronary computed tomographic
angiography (CTA). The second case was a 30-year-old woman
with a history of surgery for atrial septal defect at 10 years old
who presented with progressive exertional dyspnea. Cardiac
catheterization confirmed the diagnosis of ALCAPA. The third
case was a 19-year-old man who was brought to our clinic due
to aborted sudden cardiac death on the previous day. Cardiac
catheterization and coronary CTA confirmed the diagnosis.
They underwent the closure of orifice of the anomalous left
coronary artery and grafting the left anterior descending artery
concomitantly with mitral valve repair. All patients were followed
up during a mean of 8.7 months and they were asymptomatic.
