Bhandari Monika, Vishwakarma Pravesh, Pradhan Akshyaya, Sethi Rishi
Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Avicenna J Med. 2019 Jul-Sep;9(3):115-118. doi: 10.4103/ajm.AJM_186_18.
Congenital anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is associated with early infant mortality and adult sudden death. The use of advanced cardiac imaging has resulted in an increase in the number of diagnosed ALCAPA cases, especially in the adult population, sometimes even asymptomatic. The extent of collateral circulation that develops between the right coronary artery (RCA) and left coronary artery (LCA) determines the outcomes. We present a case of hitherto undiagnosed case of ALCAPA, with first presentation as acute coronary syndrome (ACS) in young male.
先天性左冠状动脉起源于肺动脉（ALCAPA）与婴儿早期死亡和成人猝死相关。先进心脏成像技术的应用导致确诊的ALCAPA病例数量增加，尤其是在成人人群中，有时甚至是无症状的。右冠状动脉（RCA）和左冠状动脉（LCA）之间形成的侧支循环程度决定了预后。我们报告一例此前未被诊断出的ALCAPA病例，该病例首次表现为年轻男性的急性冠状动脉综合征（ACS）。
