Zhang Yanting, Wang Bin, Li Yuman, Xie Mingxing
Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hubei Province Key Laboratory of Molecular Imaging, Wuhan, China.
Echocardiography. 2019 Jun;36(6):1208-1210. doi: 10.1111/echo.14355. Epub 2019 Apr 22.
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart disease, with an incidence of <1 in 300 000 live births. We describe a rare case of a 23-month-old infant admitted for cough and fever. Echocardiography showed a branch of the left coronary artery originating from the pulmonary artery. The coronary computed tomographic angiography revealed anomalous origin of the left anterior descending (LAD) artery from the pulmonary artery with the left circumflex artery and right coronary artery arising normally from the aorta. The infant successfully underwent surgical reimplantation of the LAD to the ascending aorta. Our case emphasizes that echocardiography and computed tomographic angiography are valuable imaging modalities for making an accurate diagnosis and determining the precise surgical plan.
左冠状动脉起源于肺动脉（ALCAPA）是一种罕见的先天性心脏病，活产婴儿发病率<1/300000。我们描述了一例罕见的23个月大婴儿因咳嗽和发热入院的病例。超声心动图显示左冠状动脉的一个分支起源于肺动脉。冠状动脉计算机断层血管造影显示左前降支（LAD）动脉起源于肺动脉，左旋支动脉和右冠状动脉正常起源于主动脉。该婴儿成功接受了LAD动脉至升主动脉的手术再植术。我们的病例强调，超声心动图和计算机断层血管造影是进行准确诊断和确定精确手术方案的有价值的成像方式。
