Pulmoner arterden kaynaklanan sol koroner arter anomalisi ALCAPA olan 11 yaşında yakınmasız olgu

Pulmoner arterden çıkan anormal sol koroner arter [ ldquo;Anomalous origin of the Left Coronary Artery from the Pulmonary Artery rdquo; ALCAPA ] nadir görülen bir doğuştan kalp anomalisidir Süt çocukları ve çocuklarda ALCAPA miyokardiyal iskemi veya infarktüsün sık karşılaşılan sebeplerinden birisidir Bu makalede hastanemize üfürüm duyulması nedeniyle başvuran ve ekokardiyografik olarak dilate kardiomyopati ve kateter anjiyografisinde sol koroner arterin pulmoner arterden köken aldığı görülen 11 yaşındaki bir hastamız sunulmuştur.

Anahtar Kelimeler:

ALCAPA, ekokardiyografi, koroner arter anomalisi

Anomalous left coronary artery from pulmonary artery ALCAPA in asymptomatic 11 year old case

Origin of the left coronary artery from the pulmonary trunk [Anomalous origin of the Left Coronary Artery from the Pulmonary Artery ALCAPA ] is a rare congenital heart defect ALCAPA is one of the common causes of myocardial ischemia or infarction in infants and children In this report we present an eleven years old patient presenting with murmur and accompanied by echocardiographic findings of dilated cardiomyopathy and angiocardiographic investigation that revealed left coronary artery originating from the pulmonary artery Turk Arch Ped 2012; 47: 298 301

Keywords:

-,

PDF

___

Frommelt PC, Frommelt MA. Congenital coronary artery anomalies. Pediatr Clin North Am 2004; 51: 1273-88.
Bland EF, White PD, Garland J. Congenital anomalies of the coronary arteries. Am Heart J 1933; 8: 787.
Chang RR, Allada V. Electrocardiographic and echocardiographic fea- tures that distinguish anomalous origin of the left coronary artery from pulmonary artery from idiopathic dilated cardiomyopathy. Pediatr Cardiol 2001; 22: 3-10.
Khatami AD, Mavroudis C, Backer CL. Anomalous origin of the left coronary artery from the pulmonary artery: collective review of surgical therapy. Ann Thorac Surg 2002; 74: 946-55.
Schneider S, Rickli H, Giech V, Maeder M. Blind-White Garland syndro- me and atrial septal defect-rare association and diagnostic challange. Clin Res Cardiol 2006; 95: 295-300.
Kostenberger M, Nagel B, Gamillscheg A, Temmel W, Cvirn G, Beitzke A. Myocardial infarction in an adolescent: anomalous origin of the main coronary artery from the right coronary sinus in association with combi- ned prothrombotic defects. Pediatrics 2007; 120: 4247.
Wilson CL, Dlabal PW, Holeyfield RW, Akins CW, Knauf DG. Anomalous origin of the left coronary artery from the pulmonary artery: case report and review of literature concerning teenagers and adults. J Thorac Cardiovasc Surg 1977; 73: 887-93.
Singh TP, Di Carli MF, Sullivan NM, Leonen NM, Morrow WR. Myocardial flow reserve in long-term survivors of repair of anomalous left coronary artery from pulmonary artery. J Am Coll Cardiol 1998; 31: 437-43.
Wesselhoeft IT, Fowcett JS, Johnson AL. Anomalous origin of the left
coronary from the pulmonary trunk. Its clinical spectrum, pathology, and pathophysiology, based on a review of 140 cases with seven further cases. Circulation 1968: 38: 403-25.
Raghuram AR, Krishnan R, Kumar S. Anomalous left coronary artery from pulmonary artery (ALCAPA) in an adult. Interact Cardiovasc Thorac Surg 2004; 20; 213-5.
Takimura CK, Nakamoto A, Hotta VT, Campos MF, Malamo M, Otsubo R. Anomalous left coronary artery from the pulmonary artery. Report of an adult case. Arq Bras Cardiol 2002; 78: 309-4.
Fierenes C, Budts W, Denef B, Van de Werf F. A 72 year old women with ALCAPA. Heart 2000; 83: e2: 1-3.
Jureidini SB, Nouri S, Pennington DG. Anomalous left coronary artery from the pulmonary trunk: repair after diagnostic cross sectional echo- cardiography. Br Heart J 1987; 58: 173-5.
Robinson PJ, Sullivan ID, Kumpeng V, Anderson RH, Macartney FJ. Anomalous origin of the left coronary artery from the pulmonary trunk: potential for false negative diagnosis with cross sectional echocardiog- raphy. Br Heart J 1984; 52: 272-7.
Amanullah MM, Hamilton JRL, Hasan A. Anomalous left coronary artery from the pulmonary artery: creating an autogenous arterial con- duit for aortic implantation. Eur J Cardiothorac Surg 2001; 20: 853-5.
Vouhe PR, Baillot-Vernant F, Trinquet F, et al. Anomalous left coronary artery from the pulmonary artery in infants. Which operation? When? J Thorac Cardiovasc Surg 1987; 94: 192-9.