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CC BY-NC-ND 4.0 · Avicenna J Med 2019; 9(03): 115-118
DOI: 10.4103/ajm.AJM_186_18
CASE REPORT

Late presentation of anomalous left coronary artery arising from pulmonary artery with acute coronary syndrome

Monika Bhandari
Department of Cardiology, King George’s Medical University, Lucknow, Uttar Pradesh, India
,
Pravesh Vishwakarma
Department of Cardiology, King George’s Medical University, Lucknow, Uttar Pradesh, India
,
Akshyaya Pradhan
Department of Cardiology, King George’s Medical University, Lucknow, Uttar Pradesh, India
,
Rishi Sethi
Department of Cardiology, King George’s Medical University, Lucknow, Uttar Pradesh, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Congenital anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is associated with early infant mortality and adult sudden death. The use of advanced cardiac imaging has resulted in an increase in the number of diagnosed ALCAPA cases, especially in the adult population, sometimes even asymptomatic. The extent of collateral circulation that develops between the right coronary artery (RCA) and left coronary artery (LCA) determines the outcomes. We present a case of hitherto undiagnosed case of ALCAPA, with first presentation as acute coronary syndrome (ACS) in young male.

Keywords

Acute coronary syndrome - Adulthood - Congenital anomaly - Survival


Publication History

Article published online:
09 August 2021

© 2019. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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