Asymptomatic case of anomalous left coronary artery originating from pulmonary artery-An incidental diagnosis

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Vyas Anjali; Patel Ramesh; Aggarwal Sandeep; Mandot Sanjay

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Journal Paper

Paper Information

Journal: CASPIAN JOURNAL OF PEDIATRICS Year:2022 | Volume:8 | Issue:2 Page(s): 767-771

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Title

Asymptomatic case of anomalous left coronary artery originating from pulmonary artery-An incidental diagnosis

Author(s)

Vyas Anjali | Patel Ramesh | Aggarwal Sandeep | Mandot Sanjay | Issue Writer Certificate

Keywords

Anomalous Left Coronary Artery

Congenital Heart Disease

Coronary Anomaly

Left Coronary Artery Arising From Pulmonary Artery

Abstract

Background and Objective: 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. Case report: 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. Conclusion: 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.

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APA: Copy

Vyas, Anjali, Patel, Ramesh, Aggarwal, Sandeep, & Mandot, Sanjay. (2022). Asymptomatic case of anomalous left coronary artery originating from pulmonary artery-An incidental diagnosis. CASPIAN JOURNAL OF PEDIATRICS, 8(2), 767-771. SID. https://sid.ir/paper/1112769/en

Vancouver: Copy

Vyas Anjali, Patel Ramesh, Aggarwal Sandeep, Mandot Sanjay. Asymptomatic case of anomalous left coronary artery originating from pulmonary artery-An incidental diagnosis. CASPIAN JOURNAL OF PEDIATRICS[Internet]. 2022;8(2):767-771. Available from: https://sid.ir/paper/1112769/en

IEEE: Copy

Anjali Vyas, Ramesh Patel, Sandeep Aggarwal, and Sanjay Mandot, “Asymptomatic case of anomalous left coronary artery originating from pulmonary artery-An incidental diagnosis,” CASPIAN JOURNAL OF PEDIATRICS, vol. 8, no. 2, pp. 767–771, 2022, [Online]. Available: https://sid.ir/paper/1112769/en

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