Saedi Sedigheh, Parsaee Mozhgan, Farrashi Melody, Noohi Feridoun, Mohebbi Bahram
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Echocardiography. 2019 Jan;36(1):177-181. doi: 10.1111/echo.14236.
Anomalous origin of coronary artery from pulmonary artery (ALCAPA) is a rare coronary anomaly usually presenting in the first year of life. Adult presentation suggests a wide range of differential diagnosis such as myocarditis, dilated cardiomyopathy, and coronary artery disease. We have presented here the major distinctive echocardiographic features of ALCAPA through 4 cases. Since echocardiography is often used as the first imaging modality in these clinical scenarios, recognizing the characteristics of ALCAPA in a routine echocardiographic examination can transform a readily available, low-cost tool into a valuable discriminative modality.
冠状动脉起源于肺动脉（ALCAPA）是一种罕见的冠状动脉异常，通常在出生后第一年出现。成人病例提示需进行广泛的鉴别诊断，如心肌炎、扩张型心肌病和冠状动脉疾病。我们通过4例病例展示了ALCAPA主要的独特超声心动图特征。由于超声心动图在这些临床情况下常被用作首选成像方式，在常规超声心动图检查中识别ALCAPA的特征可将一种现成的低成本工具转变为一种有价值的鉴别手段。
