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. 2022 Sep;18(3):309-310.
doi: 10.5114/aic.2022.121194. Epub 2022 Nov 15.

Anomalous left coronary artery from the pulmonary artery: a single case or a growing problem?

Piotr J Chuchra  1 , Magdalena Nowak  1 , Agnieszka Roj  1 , Agnieszka Skoczyńska  2 , Wojciech Wojakowski  2 , Paweł Gąsior  2
Affiliations

Anomalous left coronary artery from the pulmonary artery: a single case or a growing problem?

Piotr J Chuchra et al. Postepy Kardiol Interwencyjnej. 2022 Sep.
No abstract available

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
A, B – SPECT/CT scan was obtained using Technetium 99m (99mTc) sestamibi in a 2-day examination schedule. The patient underwent the standardized Bruce protocol for stress induction. The exercise test was terminated early, because the patient achieved 83% of maximum, age-adjusted, predicted heart rate. In both stress and rest images uptake of 99mTc sestamibi was similar, indicating irreversible perfusion. SPECT/CT scan showed extensive areas of severe perfusion defect in anterior, inferior, apical wall and moderately decreased radiotracer activity in lateral area. Hypokinesis of the left ventricle (rest 39%; stress 30%). Generalized dyskinesia except for the mid inferoseptal and basal inferoseptal areas. Single area of increased radiotracer uptake in the apical inferior and apical septal region. C – Coronary angiogram obtained with injection of dye into RCA reveals dilated and tortuous RCA (white arrow) with plenty of collateral arteries, through which the blood flows into the dilated LCA (red arrow); also the LCA opacifies the main pulmonary artery (black arrow). D – CT angiogram shows the origin of the dilated LCA from the main pulmonary artery (white arrow)
See this image and copyright information in PMC

References

    1. Yau JM, Singh R, Halpern EJ, et al. . Anomalous origin of the left coronary artery from the pulmonary artery in adults: a comprehensive review of 151 adult cases and a new diagnosis in a 53-year-old woman. Clin Cardiol 2011; 34: 204-10. - PMC - PubMed
    1. Peña E, Nguyen ET, Merchant N, et al. . ALCAPA syndrome: not just a pediatric disease. Radiographics 2009; 29: 553-65. - PubMed
    1. Mainwaring RD, Reddy VM, Reinhartz O, et al. . Anomalous aortic origin of a coronary artery: medium-term results after surgical repair in 50 patients. Ann Thorac Surg 2011; 92: 691-7. - PubMed
    1. Gräni C, Benz DC, Steffen DA, et al. . Outcome in middle-aged individuals with anomalous origin of the coronary artery from the opposite sinus: a matched cohort study. Eur Heart J 2017; 38: 2009-16. - PubMed