Anomalous left coronary artery arising from the pulmonary artery discovered beyond infancy
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- 作者：Jian-Yong Zheng ; Han Li ; Yu Chen ; Yi-Gang Qiu ; Yi Cao ; Chu-Zhong Tang ; Jun-Hui Wang ; Zheng-Ming Xu ; Zhi-Chao Wang and Tian-Chang Li
- 关键词：congenital heart defect ; left coronary artery ; pulmonary artery ; echocardiography ; cardiac surgical procedures
- 刊名：Journal of Clinical Ultrasound
- 出版年：2016
- 出版时间：May 2016
- 年：2016
- 卷：44
- 期：4
- 页码：261-264
- 全文大小：323K
- ISSN：1097-0096
文摘
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a congenital heart defect rarely diagnosed beyond infancy. We present a 9-year-old girl who had once been diagnosed as congenital coronary artery fistula. Echogenic mitral chordae tendineae, multiple coronary collaterals within the ventricular septum and free ventricular wall, and a shunting flow from the left coronary artery into the pulmonary artery were prominent echocardiographic features of ALCAPA. Reimplantation of the left coronary artery directly onto the aorta achieved a favorable outcome with regression of left ventricular size and alleviation of mitral regurgitation.