Caspian Journal of Pediatrics
مجله کاسپین کودکان
CJP
Medical Sciences
http://caspianjp.ir
1
admin
2423-4729
2383-3106
0
10.22088/CJP.BUMS
0
0
0
en
jalali
1401
6
1
gregorian
2022
9
1
8
2
online
1
fulltext
en
Asymptomatic Case of Anomalous Left Coronary Artery Originating from Pulmonary Artery: An Incidental Diagnosis
تخصصي
Special
گزارش مورد
case report
<div style="text-align: justify;"><span style="font-family:Times New Roman;"><span style="font-size:14px;"><span style="line-height:17.0pt"><b><span style="color:#24a3a0">Background and Objective:</span></b> Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare but well-described cardiac anomaly with a frequency of 0.25-0.5% among all cardiac anomalies. It is associated with a high mortality rate (90%) in infants (within 1 year of birth) due to inadequate collateral circulation development. However, if good collateral circulation to the left side of the heart is established, the patient may survive into adulthood without complications.</span><br>
<span style="line-height:17.0pt"><b><span style="color:#24a3a0"><span style="letter-spacing:.2pt">Case report:</span></span></b> <span style="letter-spacing:.2pt">The present report describes an unusual case of a 14-year-old boy who was incidentally diagnosed with ALCAPA and was completely asymptomatic with normal left ventricular ejection fraction. The patient was treated with conservative medical therapy and recommended for regular clinical follow-up.</span></span><br>
<b><span style="line-height:107%"><span style="color:#24a3a0">Conclusion:</span></span></b> <span style="line-height:107%">Although our patient’s parents were not convinced about surgical repair, he could be further treated with conservative medical therapy. However, surgical repair should be performed in all cases of ALCAPA to prevent the progression of ischemia, arrhythmia, congestive heart failure, and even sudden death.</span></span></span><br>
<span style="font-size:11pt"><span style="line-height:200%"><span style="font-family:Calibri,sans-serif"><b><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:200%"><span style="font-family:"Times New Roman",serif"></span></span></span></b></span></span></span></div>
Anomalous Left Coronary Artery, Congenital Heart Disease, Coronary Anomaly, Left Coronary Artery Arising From Pulmonary Artery
760
764
http://caspianjp.ir/browse.php?a_code=A-10-221-1&slc_lang=en&sid=1
Anjali
Vyas
Anji14194@gmail.com
10031947532846004208
10031947532846004208
No
Fellow Pediatrics, Geetanjali Medical College and Hospital, Udaipur, Rajasthan 313001, India
Ramesh
Patel
drrameshpatel1982@gmail.com
10031947532846004209
10031947532846004209
Yes
Associate Professor, Geetanjali Medical College and Hospital, Udaipur, Rajasthan-313001, India
Sandeep
Aggarwal
drsandeepaggarwal8@gmail.com
10031947532846004210
10031947532846004210
No
Fellow Cardiology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan-313001, India
Sanjay
Mandot
drmandot@yahoo.com
10031947532846004211
10031947532846004211
No
Professor, Geetanjali Medical College and Hospital, Udaipur, Rajasthan-313001, India