Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Initially Visualized by Echocardiography and Multidetector Computed Tomography Coronary Angiography
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly associated with very high mortality during infancy. We report a 35-year-old female patient with ALCAPA initially visualized by echocardiography. She visited outpatient department presenting with intermittent chest discomfort for 3 weeks. Transthoracic echocardiography showed left coronary artery arising from main pulmonary artery and abundant septal color flow Doppler signals. Transesophageal echocardiography clearly revealed markedly dilated and tortuous right coronary artery showing windsock appearance. Multidetector computed tomography and coronary angiography enabled visualization of anomalous left coronary artery originating from left side of main pulmonary trunk. After treadmill exercise test which showed ST-segment depression presenting inducible myocardial ischemia, patient underwent direct re-implantation of the anomalous coronary artery into the aorta without any complication.
Abstract
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly associated with very high mortality during infancy. We report a 35-year-old female patient with ALCAPA initially visualized by echocardiography. She visited outpatient department presenting with intermittent chest discomfort for 3 weeks. Transthoracic echocardiography showed left coronary artery arising from main pulmonary artery and abundant septal color flow Doppler signals. Transesophageal echocardiography clearly revealed markedly dilated and tortuous right coronary artery showing windsock appearance. Multidetector computed tomography and coronary angiography enabled visualization of anomalous left coronary artery originating from left side of main pulmonary trunk. After treadmill exercise test which showed ST-segment depression presenting inducible myocardial ischemia, patient underwent direct re-implantation of the anomalous coronary artery into the aorta without any complication.
참고문헌 (9)
- Murala JS, "Anomalous origin of left coronary artery from pulmonary artery in adults", Asian Cardiovasc Thorac Ann, 14, pp.38~42 (2006)
- Frommelt MA, "Detection of septal coronary collaterals by color flow Doppler mapping is a marker for anomalous origin of a coronary artery from the pulmonary artery", J Am Soc Echocardiogr, 15, pp.259~263 (2002)
- O SI, "A case of anomalous left coronary artery from pulmonary artery (Bland-White-garland sysndrome)", Korean Circ J, 23, pp.468~473 (1993)
- Shon TS, "Anomalous origin of left coronary artery from pulmonary artery: report of an adult case", Korean Circ J, 29, pp.528~531 (1999)
- 나승운, "Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in an Elderly Patient isualized by Three-Dimensional Multidetector Computed Tomograph Coronary Angiography", Korean Circulation Journal, 35(1), pp.84~87 (2005), 대한심장학회
- Williams IA, "Anomalous right coronary artery arising from the pulmonary artery: a report of 7 cases and a review of the literature", Am Heart J, 152(1004), pp.9~17 (2006)
- Brooks HS, "Two cases of an abnormal coronary artery of the heart arising from the pulmonary artery: with some remarks upon the effect of this anomaly in producing cirsoid dilatation of the vessels", J Anat Physiol, 20, pp.26~29 (1885)
- Fisher EA, "Two-dimensional echocardiographic visualization of the left coronary artery in anomalous origin of the left coronary artery from the pulmonary artery. Pre- and postoperative studies", Circulation, 63, pp.698~704 (1981)
- 김건우, "성인에서 발견된 좌관상동맥의 폐동맥 이상기시증 -1예 보고-", The Korean Journal of Thoracic and Cardiovascular Surgery, 40(7), pp.503~507 (2007), 대한흉부외과학회