The Winding Road to Dyspnea: A Case Report of an Unusual Presentation of Anomalous Left Coronary Artery from the Pulmonary Artery
Allen Fooks, Ranvir Bhatia, Sanjay Sivalokanathan, Neel P Chokshi
TL;DR
A 30-year-old woman with a rare heart condition called ALCAPA was diagnosed and successfully treated with surgery.
Contribution
This case report highlights an unusual presentation of ALCAPA in an adult and the effectiveness of surgical correction.
Findings
A 30-year-old female was diagnosed with ALCAPA after experiencing reduced exercise tolerance.
The patient underwent a successful Takeuchi repair, a surgical correction for ALCAPA.
Early surgical intervention is recommended to improve prognosis in ALCAPA cases.
Abstract
Background and Clinical Significance: Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly. Such patients are unlikely to survive adulthood without a major surgical correction. Case Presentation: We report a 30-year-old female with a lifelong murmur who presented to the sports cardiology clinic with progressively reduced exercise tolerance. She was eventually diagnosed with ALCAPA and underwent successful Takeuchi repair. Conclusions: Surgical correction is strongly recommended upon diagnosis to mitigate the associated risks and improve the prognosis for affected individuals.
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Taxonomy
TopicsCoronary Artery Anomalies · Vascular anomalies and interventions · Congenital Heart Disease Studies