Aslanger Emre, Altun Ibrahim, Umman Berrin
Cardiology Department, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Acta Cardiol. 2009 Dec;64(6):835-7. doi: 10.2143/AC.64.6.2044755.
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an uncommon cardiac abnormality. The clinical picture of ALCAPA may range from asymptomatic course with normal life span to sudden cardiac death. Moreover, from the standpoint of resuscitation science, it constitutes a disadvantageous anatomy for coronary perfusion pressure, generated by chest compressions, which is critical for the return of spontaneous circulation. Here, we report an ALCAPA case diagnosed after out-of-hospital cardiac arrest and successful cardiopulmonary resuscitation.
左冠状动脉起源于肺动脉（ALCAPA）是一种罕见的心脏异常。ALCAPA的临床表现范围可从无症状且寿命正常到心源性猝死。此外，从复苏科学的角度来看，它对于由胸外按压产生的冠状动脉灌注压而言是一种不利的解剖结构，而冠状动脉灌注压对于自主循环恢复至关重要。在此，我们报告一例在院外心脏骤停及成功实施心肺复苏后确诊的ALCAPA病例。
