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oa Antegrade flow in Anomalous Left Coronary Artery from Pulmonary Artery: Clinical implications
- Source: Global Cardiology Science and Practice, Volume 2014, Issue 3, Dec 2014, 45
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- 19 July 2014
- 11 September 2014
- 01 December 2014
Abstract
Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually presents in childhood. It results in left ventricular (LV) ischemia with resulting LV dysfunction. This ischemia results from retrograde flow into the pulmonary artery which can act as a coronary steal. We here report antegrade flow detected in ALCAPA caused by severe pulmonary hypertension. Anatomic correction of ALCAPA is the preferred surgical option and should be performed as early as possible.
© 2014 Sedky, Hosny, Donya, AbdElsalam, Yacoub, licensee Bloomsbury Qatar Foundation Journals.