Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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CASE REPORT

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Volume 22

July - September 2006

Number 3


 

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Anomalous Origin of Left Main Coronary Artery
from Pulmonary Artery (ALCAPA)

Maad Ullah

ABSTRACT

Anomalous origin of left main coronary artery from pulmonary artery (ALCAPA) is a very rare congenital anomaly, reported in less than 0.5% of all the congenital heart diseases. Left untreated, majority of the patients die in infancy of myocardial ischemia. We report a case with this anomaly, presented in early infancy with progressive dyspnoea, feeding difficulty and cardiomagaly on X-ray. The diagnosis was made on echocardiography and ECG. The baby is surviving on medications, parents having refused the surgical option.

KEY WORDS: Left coronary artery, Pulmonary artery, Myocardial ischemia, Dilated cardiomyopathy.

Pak J Med Sci July - September 2006 Vol. 22 No. 3 313-315


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