Anomalous origin of the left coronary artery from the pulmonary artery syndrome in an adult and his eight-year follow-up results

Serdar Türkmen; Mustafa Yolcu; Alper Sertçelik; Mehmet Ali Cüce; Talant Batyraliev

doi:10.5606/tgkdc.dergisi.2014.9031

Serdar Türkmen¹, Mustafa Yolcu², Alper Sertçelik¹, Mehmet Ali Cüce³, Talant Batyraliev¹

Departments of Cardiology, Private Sani Konukoğlu Hospital, Gaziantep, Turkey
¹Departments of Cardiology, Private Sani Konukoğlu Hospital, Gaziantep, Turkey
²Department of Cardiology, Erzurum Region Training and Research Hospital, Erzurum, Turkey
³Departments of Radiology, Private Sani Konukoğlu Hospital, Gaziantep, Turkey

DOI : 10.5606/tgkdc.dergisi.2014.9031

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) which is also known as Bland-White-Garland syndrome, is a rare congenital anomaly. If it is left untreated, ALCAPA syndrome has a high mortality in the first year of life due to mostly myocardial ischemia and heart failure. Most adult patients may be asymptomatic or present with angina, dyspnea, syncope, myocardial infarction, arrhythmia or sudden cardiac death. Sudden cardiac death secondary to malign ventricular arrhythmias is the most common presentation in this patient population. In this article, we report a 36-yearold male case who was an active sportsman and presented with atypical complaints. Transthoracic echocardiography revealed an indefinite turbulence in pulmonary artery and coronary angiography showed ALCAPA syndrome.

Keywords : Adult; coronary angiography; coronary vessel anomaly

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