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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Su, Chieh-Shou Tsai, I-Chen Lin, Wei-Wen Lin, Fang-Yi Ting, Chih-Tai Wang, Kuo-Yang |
| Description | Country affiliation: Taiwan Author Affiliation: Su CS ( Cardiovascular Center, Taichung Veterans General Hospital, #160 Section 3 Taichung-Kang Road, Taichung, Taiwan.) |
| Abstract | Anomalous origin of the left coronary artery arising from the pulmonary artery (ALCAPA) is a rare congenital heart defect that affects approximately 1 in 300,000 live births and accounts for 0.5% of all congenital heart disease. Without surgical intervention, most patients with this anomaly die in infancy. The diagnosis of ALCAPA syndrome is sometimes difficult, especially in children, because it often presents with atypical symptoms and signs. Echocardiography can yield some findings that are highly indicative of this syndrome. Cardiac catheterization usually establishes the diagnosis, but it is invasive and painful. Multidetector-row computed tomography (MDCT) is a valuable alternative tool to confirm the diagnosis of ALCAPA syndrome. In this report, we describe a 24-year-old woman with a dilated right coronary artery detected by transthoracic echocardiography, showing an interventricular abnormal flow over the diastolic phase of the cardiac cycle and the left main coronary artery not merging with the ascending aorta. The diagnosis of ALCAPA syndrome was confirmed by MDCT. |
| File Format | HTM / HTML |
| ISSN | 17264901 |
| e-ISSN | 17287731 |
| Journal | Journal of the Chinese Medical Association |
| Issue Number | 9 |
| Volume Number | 73 |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2010-09-01 |
| Access Restriction | Open |
| Subject Keyword | Discipline Therapeutics Coronary Vessel Anomalies Pulmonary Artery Abnormalities Tomography, X-ray Computed Echocardiography Syndrome |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Medicine |
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