Bakiler Ali Rahmi, Eliaçık Kayı, Köse Seda, Atay Yüksel
Department of Pediatrics, Cardiology Subdivision, Tepecik Training and Research Hospital, İzmir, Turkey.
Turk Kardiyol Dern Ars. 2013 Jul;41(5):448-50. doi: 10.5543/tkda.2013.46020.
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly and one of the causes of myocardial ischemia. It often presents with atypical signs and symptoms, especially in childhood. In this case report, an 11-year-old girl presented with dilated cardiomyopathy in our clinic and was followed for five years. Echocardiography showed multiple left-to-right shunts on the interventricular septum, the confirmation of which was done by multi-slice computed tomography and coronary angiography. Therefore, we suggest that ALCAPA should be suspected in young patients diagnosed with dilated cardiomyopathy.
左冠状动脉起源于肺动脉（ALCAPA）是一种罕见的先天性异常，也是心肌缺血的原因之一。它常表现为非典型的体征和症状，尤其是在儿童期。在本病例报告中，一名11岁女孩在我们诊所被诊断为扩张型心肌病，并随访了五年。超声心动图显示室间隔有多处左向右分流，多层计算机断层扫描和冠状动脉造影证实了这一点。因此，我们建议对于诊断为扩张型心肌病的年轻患者应怀疑有ALCAPA。
