Anomalous origin of the left coronary artery from the pulmonary artery in teenager with preserved left ventricular function

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Published: Nov 28, 2024
Keywords:
ALCAPA, adult type, arrhythmia, preserved left ventricular function
Mirza Halimic
Pediatric Clinic, Clinical Center University Sarajevo
Almira Kadic
Zijo Begic
Selma Dizdar
Semra Cepic Kapic
Abstract

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually manifests as severe left-sided heart failure and mitral valve insufficiency during the early infant period, with a certain fatal outcome without early operative correction. Adulthood presentation is rare and most of the untreated patients who reach adulthood present with left ventricular dysfunction, global cardiomyopathy, severe chronic mitral regurgitation, myocardial infarction, sudden dysrhytmias and death. Here we report a case of a 12-year-old girl presents with cardiac arrest occurred during training, with previously preserved LV function.


Key words: ALCAPA, adult type, arrhythmia, preserved left ventricular function

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