Author/Authors :
Patil, Shantanu Department of Medicine - SSM Health St. Mary’s Hospital, St. Louis, MO, USA , Shah, Mahek Department of Cardiology - Lehigh Valley Hospital, Allentown, PA, USA , Patel, Brijesh Department of Cardiology - Lehigh Valley Hospital, Allentown, PA, USA , Garg, Lohit Department of Cardiology - Lehigh Valley Hospital, Allentown, PA, USA , Jacobs, Larry Department of Cardiology - Lehigh Valley Hospital, Allentown, PA, USA , Islam, Nauman Department of Cardiology - Lehigh Valley Hospital, Allentown, PA, USA , Martinez, Matthew Department of Cardiology - Lehigh Valley Hospital, Allentown, PA, USA
Abstract :
Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary anomaly
with high mortality. It is associated with cardiovascular complications and is usually diagnosed soon after birth. (ose who survive
into adulthood can present with signs of myocardial infarction, heart failure, mitral regurgitation, severe pulmonary hypertension,
or sudden cardiac death. We present a 53-year-old female presenting with atrial fibrillation and found to have an incidental
diagnosis of ALCAPA who refused surgical correction. We also review the epidemiology, diagnosis, age-based clinical presentations, and treatment options for ALCAPA.
