https://doi.org/10.4081/monaldi.2022.2246
Anomalous left coronary artery from pulmonary artery (ALCAPA) as a silent cause of mitral regurgitation in children
Submitted: February 22, 2022
Accepted: May 19, 2022
Published: June 23, 2022
Accepted: May 19, 2022
Abstract Views: 892
PDF: 235
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Anomalous left coronary artery from pulmonary artery (ALCAPA), also known as Bland-White-Garland syndrome, is a rare cardiac disease. This condition may present with complications such as myocardial infarction, left ventricular dilatation, mitral regurgitation, and left heart failure in children. We report a case of a four-year-old boy who presented with shortness of breath, palpitations, and recurrent upper respiratory tract infections. He was diagnosed with mitral regurgitation. During the surgery, left coronary artery (LCA) was not present in its anatomical position and ALCAPA was identified. One should keep in mind the possibility of ALCAPA in presentation of mitral regurgitation in children despite not being reported in echocardiography.
Sadoma D, Valente C, Sigal A. Anomalous left coronary artery from the pulmonary artery (ALCAPA) as a cause of heart failure. Am J Case Rep 2019;20:1797-800.
DOI: https://doi.org/10.12659/AJCR.917655
Memon MKY, Amanullah M, Atiq M. Anomalous left coronary artery from pulmonary artery: An important cause of ischemic mitral regurgitation in children. Cureus 2019;11:e4441.
DOI: https://doi.org/10.7759/cureus.4441
Younus Z, Iftikhar R, Ahmed I. Anomalous origin of left coronary artery from pulmonary artery (ALCAPA). J College Phys Surg Pak 2013;23:743-4.
Regeer MV, Bondarenko O, Zeppenfeld K, Egorova AD. Anomalous left coronary artery from the pulmonary artery: a rare cause of an out-of-hospital cardiac arrest in an adult-a case report. Eur Heart J Case Rep 2020;4:1-5.
DOI: https://doi.org/10.1093/ehjcr/ytaa061
Di Salvo G, Siblini G, Issa Z, et al. Left ventricular mechanics in patients with abnormal origin of the left main coronary artery from the pulmonary trunk late after successful repair. Cardiology 2017;136:71-6.
DOI: https://doi.org/10.1159/000447961
Ismail M, Jijeh A, Alhuwaymil RM, et al. Long-term outcome of the anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) in children after cardiac surgery: A single-center experience. Cureus 2020;12:e11829.
DOI: https://doi.org/10.7759/cureus.11829
Cochrane AD, Coleman DM, Davis AM, et al. Excellent long-term functional outcome after an operation for anomalous left coronary artery from the pulmonary artery. J Thorac Cardiovasc Surg 1999;117:332-42.
DOI: https://doi.org/10.1016/S0022-5223(99)70431-9
Al Umairi RS, Al Kindi F, Al Busaidi F. Anomalous origin of the left coronary artery from the pulmonary artery: The role of multislice computed tomography [MSCT]. Oman Med J 2016;31:387-9.
DOI: https://doi.org/10.5001/omj.2016.77
Butt A, Amanullah MM, Ahmed MA, et al. Anomalous origin of the left coronary artery from the pulmonary artery: A surgical certainty. J Pak Med Assoc 2020;70:561-4.
DOI: https://doi.org/10.5455/JPMA.34200
Muneer Amanullah M, Rostron AJ, Leslie Hamilton JR, et al. Towards an anatomically correct repair for anomalous left coronary artery arising from the pulmonary trunk. Cardiol Young 2008;18:372-8.
DOI: https://doi.org/10.1017/S1047951108002369
Brown JW, Ruzmetov M, Parent JJ, et al. Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin of the left coronary artery from the pulmonary artery? J Thorac Cardiovasc Surg 2008;136:743-8.
DOI: https://doi.org/10.1016/j.jtcvs.2007.12.065
Lange R, Vogt M, Hörer J, et al. Long-term results of repair of anomalous origin of the left coronary artery from the pulmonary artery. Ann Thorac Surg 2007;83:1463-71.
DOI: https://doi.org/10.1016/j.athoracsur.2006.11.005
How to Cite
Ashraf, Naela, Suha Zubairi, Mehnaz Atiq, Farheen Ahmed, and Muneer Amanullah. 2022. “Anomalous Left Coronary Artery from Pulmonary Artery (ALCAPA) As a Silent Cause of Mitral Regurgitation in Children”. Monaldi Archives for Chest Disease 93 (1). https://doi.org/10.4081/monaldi.2022.2246.
Copyright (c) 2022 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Shi-Min Yuan, Amihay Shinfeld, Ehud Raanani, Mitral valve cleft associated with secundum atrial septal defect: case report and review of the literature , Monaldi Archives for Chest Disease: Vol. 68 No. 1 (2007): Cardiac series
- Gabriele Valli, Francesca De Marco, Maria Teresa Spina, Valentina Valeriano, Antonello Rosa, Valentina Minerva, Enrico Mirante, Maria Pia Ruggieri, Francesco Rocco Pugliese, A pilot study on the application of the current European guidelines for the management of acute coronary syndrome without elevation of ST segment (NSTEMI) in the Emergency Department setting in the Italian region Lazio , Monaldi Archives for Chest Disease: Vol. 82 No. 4 (2014): Cardiac series
- Muhammad Ijaz, Muhammad Jaffar Khan, Jawad Khan, . Usama, Association of clinical characteristics of patients presenting with influenza like illness or severe acute respiratory illness with development of acute respiratory distress syndrome , Monaldi Archives for Chest Disease: Vol. 87 No. 1 (2017)
- Panagiotis Hountis, Maria Chounti, Chilaiditi’s sign or syndrome? Diagnostic question in two patients with concurrent cardiovascular diseases , Monaldi Archives for Chest Disease: Vol. 87 No. 2 (2017)
- Paola Gremigni, Cynical hostility and the metabolic syndrome: A case-control study , Monaldi Archives for Chest Disease: Vol. 66 No. 3 (2006): Cardiac series
- Elio Gorga, Marta Scodro, Francesca Valentini, Renzo D'Ortona, Mariachiara Arisi, Edoardo Sciatti, Ivano Bonadei, Valentina Regazzoni, Enrico Vizzardi, Marco Metra, Piergiacomo Calzavara Pinton, Echocardiographic evaluation of diastolic dysfunction in young and healthy patients with psoriasis: A case-control study , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- Massimiliano Polastri, Lara Pisani, Andrea Dell'Amore, Stefano Nava, Revolving door respiratory patients: A rehabilitative perspective , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
- Paolo Ruggeri, Federica Lo Bello, Francesco Nucera, Michele Gaeta, Francesco Monaco, Gaetano Caramori, Giuseppe Girbino, Hereditary hyperhomocysteinemia associated with nephrotic syndrome complicated by artery thrombosis and chronic thromboembolic pulmonary hypertension: A case report , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
- Achille Pulcino, Chiara Sordelli, Gennaro Ismeno, Francesco Paolo Tritto, Paolo Golino, Luigi Piazza, A case of quadricuspid aortic valve characterized by echocardiography and magnetic resonance imaging , Monaldi Archives for Chest Disease: Vol. 76 No. 3 (2011): Cardiac series
- Sabino Scardi, Bruno Pinamonti, Michele Moretti, Gianfranco Sinagra, A thirty-nine-year survival with the Starr-Edwards mitral valve prosthesis , Monaldi Archives for Chest Disease: Vol. 70 No. 1 (2008): Cardiac series
You may also start an advanced similarity search for this article.
