Anomalous left coronary artery from main pulmonary artery - A case report

Padmanabh Kamath, Narasimha D. Pai, Francis N.P. Monteiro, Prashantha Bhagavath, Haneil Larson D'Souza, Richa Kaushal

Research output: Contribution to journalArticle

Abstract

Anomalous left coronary artery from pulmonary artery (ALCAPA) is a rare congenital coronary artery malformation. Left uncorrected, nearly 90% of patients will die within one year. The clinical presentation of ALCAPA is variable during infancy and can mimic common conditions such as infantile colic, gastro-esophageal reflux disease, food intolerance and respiratory infections. Without surgical repair, surviving patients are subjected to risks of myocardial ischemia with global cardiomyopathy, chronic mitral regurgitation, and sudden death. However, in some cases collateral blood supply from the right coronary artery is sufficient and symptoms may be subtle or even absent. With early surgical correction the prognosis is good, but awareness of this condition is essential for prompt diagnosis and referral to a tertiary cardiac centre. We present the unusual case of a 13 year old asymptomatic boy who was referred to the tertiary healthcare centre for investigation of incidentally detected murmur during school health check which was later found to be resulting from previously undiagnosed anomalous left coronary artery arising from the pulmonary artery (ALCAPA) with preserved left ventricular function. This case stresses the need for high index of awareness among paediatricians and general practitioners regarding this entity so as to enable early detection and therapeutic intervention with improved prognosis for these children.

Original languageEnglish
Pages (from-to)45-48
Number of pages4
JournalMedico-Legal Update
Volume12
Issue number2
Publication statusPublished - 27-11-2012

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Pulmonary Artery
Coronary Vessels
Esophageal Diseases
School Health Services
Colic
Mitral Valve Insufficiency
Tertiary Healthcare
Gastroesophageal Reflux
Sudden Death
Cardiomyopathies
Left Ventricular Function
Respiratory Tract Infections
General Practitioners
Myocardial Ischemia
Referral and Consultation
Food
Therapeutics

All Science Journal Classification (ASJC) codes

  • Pathology and Forensic Medicine

Cite this

Kamath, P., Pai, N. D., Monteiro, F. N. P., Bhagavath, P., D'Souza, H. L., & Kaushal, R. (2012). Anomalous left coronary artery from main pulmonary artery - A case report. Medico-Legal Update, 12(2), 45-48.
Kamath, Padmanabh ; Pai, Narasimha D. ; Monteiro, Francis N.P. ; Bhagavath, Prashantha ; D'Souza, Haneil Larson ; Kaushal, Richa. / Anomalous left coronary artery from main pulmonary artery - A case report. In: Medico-Legal Update. 2012 ; Vol. 12, No. 2. pp. 45-48.
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Kamath, P, Pai, ND, Monteiro, FNP, Bhagavath, P, D'Souza, HL & Kaushal, R 2012, 'Anomalous left coronary artery from main pulmonary artery - A case report', Medico-Legal Update, vol. 12, no. 2, pp. 45-48.

Anomalous left coronary artery from main pulmonary artery - A case report. / Kamath, Padmanabh; Pai, Narasimha D.; Monteiro, Francis N.P.; Bhagavath, Prashantha; D'Souza, Haneil Larson; Kaushal, Richa.

In: Medico-Legal Update, Vol. 12, No. 2, 27.11.2012, p. 45-48.

Research output: Contribution to journalArticle

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Kamath P, Pai ND, Monteiro FNP, Bhagavath P, D'Souza HL, Kaushal R. Anomalous left coronary artery from main pulmonary artery - A case report. Medico-Legal Update. 2012 Nov 27;12(2):45-48.