Department of Cardiovascular Surgery B, Mohammed V University, Rabat, Morocco.
Department of Cardiology B, Mohammed V University, Rabat, Morocco.
World J Pediatr Congenit Heart Surg. 2020 Jul;11(4):NP207-NP209. doi: 10.1177/2150135118772834. Epub 2018 Oct 18.
Anomalous left coronary artery from the pulmonary artery (ALCAPA) was described by Abbott in 1908. In most cases, it is an isolated lesion, being the most common cause of myocardial ischemia in children. The associated mortality rate without intervention reaches 90% during childhood. We report the case of a 67-year-old woman, who underwent coronary angiography for investigation of atypical chest pain and was found to have ALCAPA. The patient refused surgery and has remained asymptomatic on a medical regimen.
1908 年，雅培描述了一种异常的左冠状动脉起源于肺动脉（ALCAPA）。在大多数情况下，它是一种孤立的病变，是儿童心肌缺血的最常见原因。未经干预的相关死亡率在儿童期达到 90%。我们报告了一例 67 岁女性的病例，她因非典型胸痛接受冠状动脉造影检查，结果发现 ALCAPA。患者拒绝手术，并在药物治疗下保持无症状。
