Project description:This is a report on a 10-year-old child with anomalous origin of left coronary artery (LCA) from pulmonary artery (ALCAPA), severe pulmonary hypertension (PH), old myocardial infarction and poor intercoronary collateralization. It discusses the echocardiographic pitfalls in this particular setting and introduces a new echocardiographic view (posterior pulmonary cusp view) for visualization of the anomalous origin of LCA from the posterior pulmonary cusp (PC) in patients with ALCAPA from the PC of the pulmonary artery. We describe three echocardiographic pitfalls that can mislead the echocardiographer and two helpful hints that guide the clinician to the correct diagnosis. The survival of this child shows that limited size of left ventricular myocardial infarction and severe mitral regurgitation in early infancy can result in a life-saving pulmonary hypertension which preserves viability and function of left ventricle despite lack of intercoronary collateral arteries. After one year follow-up, she is doing well on medical treatment.

| S-EPMC4310958 | biostudies-literature

Pulmonary hypertension associated with anomalous left coronary artery originating from the pulmonary artery.

Project description: Not available

| S-EPMC11769613 | biostudies-literature

Left ventricular thrombus formation after repair of anomalous left coronary artery from the pulmonary artery.

Project description:Although thrombus formation following myocardial infarction in adults is well known, intracardiac thrombosis in children is uncommon. We report the case of a large left ventricular thrombus in an infant with ischemic cardiomyopathy secondary to anomalous origin of the left coronary artery from the pulmonary artery. Given its mobility and protrusion across the aortic valve, the patient underwent urgent thrombus removal through a transaortic approach. There were no embolic or neurologic complications. This case highlights that thrombectomy may be performed safely and successfully in critically ill pediatric patients.

| S-EPMC4275842 | biostudies-literature

Anomalous left anterior descending artery from pulmonary artery: an extremely rare coronary anomaly.

Project description:We report a rare coronary artery anomaly-anomalous origin of the left anterior descending artery from the pulmonary artery in a 40-year-old woman. The uniqueness of this case is the absence of any significant morbidity from this condition in adulthood which is in contrast to other reported cases where patients present with myocardial infarction, congestive heart failure, and sometimes death during the early infantile period.(1).

| S-EPMC3860606 | biostudies-literature

Extensive Papillary Muscle Calcification in Adult Anomalous Left Coronary Artery from Pulmonary Artery.

Project description: Not available

| S-EPMC10784611 | biostudies-literature

Anomalous Left Coronary Artery Originating From the Pulmonary Artery Diagnosed in an Adult

Project description: Not available

| S-EPMC10954674 | biostudies-literature

Misdiagnosis of anomalous left coronary artery from the pulmonary artery as coronary cameral fistulae in an adult.

Project description: Not available

| S-EPMC8874840 | biostudies-literature

Multiple Late Complications After Takeuchi Repair of Anomalous Left Coronary Artery From the Pulmonary Artery.

Project description:Takeuchi repair is a unique surgical approach in anomalous left coronary artery from the pulmonary artery. We present an adult patient with anomalous left coronary artery from the pulmonary artery with multiple late structural complications after Takeuchi repair who was evaluated using multimodality imaging, including newly developed cardiac fusion imaging with computed tomography and echocardiography. (Level of Difficulty: Advanced.).

| S-EPMC8311193 | biostudies-literature

Coronary Flow Assessment in an Adult with Anomalous Left Coronary Arising from the Pulmonary Artery

Project description:Graphical abstract Highlights • ALCAPA can be diagnosed for the first time in older adults.• Collateral coronary blood flow from the RCA leads to RCA dilatation.• Consider ALCAPA with reduced LVEF, bright papillary muscles, MR, and RCA dilatation.• Color and spectral Doppler is useful to assess perioperative coronary arterial flow.

| S-EPMC9968913 | biostudies-literature

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