Sajjadieh Khajouei Amirreza, Samie-Nasab Mohammadreza, Behjati Mohaddeseh, Biederman Robert W
Department of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Cardiology, Isfahan University of Medical Sciences, Isfahan, Iran.
Echocardiography. 2016 Dec;33(12):1923-1925. doi: 10.1111/echo.13363. Epub 2016 Sep 16.
Untreated ALCAPA cases most often die in infancy. Adults with untreated ALCAPA commonly present with mitral regurgitation, severe left ventricular dysfunction, and sometimes myocardial infarction. Herein, we present an asymptomatic adult female with ALCAPA recognized through cardiac computed tomography (CT). In ALCAPA, like other coronary anomalies, cardiac CT is often instrumental in providing unique noninvasive and clinically relevant evaluation. Herein, we present an atypical presentation of an asymptomatic middle-aged adult female with ALCAPA.
未经治疗的左冠状动脉起源于肺动脉（ALCAPA）病例大多在婴儿期死亡。未经治疗的成年ALCAPA患者通常表现为二尖瓣反流、严重左心室功能障碍，有时还会出现心肌梗死。在此，我们报告一例通过心脏计算机断层扫描（CT）确诊的无症状成年女性ALCAPA病例。在ALCAPA中，与其他冠状动脉异常一样，心脏CT通常有助于提供独特的非侵入性且具有临床相关性的评估。在此，我们报告一例无症状中年成年女性ALCAPA的非典型表现。
