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  • Title: Anomalous left coronary artery arising from the pulmonary artery discovered beyond infancy.
    Author: Zheng JY, Li H, Chen Y, Qiu YG, Cao Y, Tang CZ, Wang JH, Xu ZM, Wang ZC, Li TC.
    Journal: J Clin Ultrasound; 2016 May; 44(4):261-4. PubMed ID: 26457671.
    Abstract:
    Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a congenital heart defect rarely diagnosed beyond infancy. We present a 9-year-old girl who had once been diagnosed as congenital coronary artery fistula. Echogenic mitral chordae tendineae, multiple coronary collaterals within the ventricular septum and free ventricular wall, and a shunting flow from the left coronary artery into the pulmonary artery were prominent echocardiographic features of ALCAPA. Reimplantation of the left coronary artery directly onto the aorta achieved a favorable outcome with regression of left ventricular size and alleviation of mitral regurgitation.
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