Formica Francesco, Amigoni Pietro, Mariani Silvia, Coppadoro Andrea, Mariani Serena, Paolini Giovanni
Department of Surgery and Translational Medicine, Cardiac Surgery Clinic, San Gerardo Hospital, University of Milan-Bicocca.
Cardiac Surgery Unit, Policlinio Città di Monza.
Heart Surg Forum. 2014 Oct 1;17(5):E250-2. doi: 10.1532/HSF98.2014354.
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary artery defect leading to sudden cardiac death. Diagnosis is made after the onset of symptoms, mainly in the pediatric population. We describe an uncommon presentation of ALCAPA and rheumatic mitral valve regurgitation, diagnosed by a coronary 64-CT scan performed before a planned mitral valve repair operation.
左冠状动脉起源于肺动脉（ALCAPA）是一种罕见的先天性冠状动脉缺陷，可导致心源性猝死。诊断通常在症状出现后进行，主要是在儿科人群中。我们描述了一例ALCAPA合并风湿性二尖瓣反流的罕见病例，该病例在计划进行二尖瓣修复手术前通过冠状动脉64层CT扫描得以确诊。
