array:22 [
  "pii" => "S087025512300104X"
  "issn" => "08702551"
  "doi" => "10.1016/j.repc.2022.05.008"
  "estado" => "S300"
  "fechaPublicacion" => "2023-04-01"
  "aid" => "2128"
  "copyrightAnyo" => "2023"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Rev Port Cardiol. 2023;42:393-4"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0870255123001051"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2022.07.014"
    "estado" => "S300"
    "fechaPublicacion" => "2023-04-01"
    "aid" => "2129"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Rev Port Cardiol. 2023;42:395-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
      "titulo" => "Exuberant microvascular dysfunction&#58; An indirect sign of coronary involvement in acute aortic syndrome&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "395"
          "paginaFinal" => "397"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Disfun&#231;&#227;o microvascular exuberante&#58; um sinal indireto de envolvimento coron&#225;rio na s&#237;ndrome a&#243;rtica aguda&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0015"
          "etiqueta" => "Figure 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 805
              "Ancho" => 805
              "Tamanyo" => 85208
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Clip 2&#46; Aortography&#46; Aortography showing an intimal flap in the ascending aorta &#40;green arrow&#41;&#46; AA&#58; ascending aorta&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Margarida Cabral, H&#233;lia Martins, Beatriz Santos, Pedro Jer&#243;nimo de Sousa, Jo&#227;o Morais"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Margarida"
              "apellidos" => "Cabral"
            ]
            1 => array:2 [
              "nombre" => "H&#233;lia"
              "apellidos" => "Martins"
            ]
            2 => array:2 [
              "nombre" => "Beatriz"
              "apellidos" => "Santos"
            ]
            3 => array:2 [
              "nombre" => "Pedro Jer&#243;nimo de"
              "apellidos" => "Sousa"
            ]
            4 => array:2 [
              "nombre" => "Jo&#227;o"
              "apellidos" => "Morais"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255123001051?idApp=UINPBA00004E"
    "url" => "/08702551/0000004200000004/v2_202304070551/S0870255123001051/v2_202304070551/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0870255123001270"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2023.03.002"
    "estado" => "S300"
    "fechaPublicacion" => "2023-04-01"
    "aid" => "2151"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "dis"
    "cita" => "Rev Port Cardiol. 2023;42:391-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial comment</span>"
      "titulo" => "Ups and downs in the mapping of macro-reentry arrhythmias&#46; A revelation in a spark of light"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "391"
          "paginaFinal" => "392"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Altos e baixos no mapeamento das arritmias de macro-reentrada&#46; Uma revela&#231;&#227;o numa centelha de luz"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Pedro Silva Cunha"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Pedro Silva"
              "apellidos" => "Cunha"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255123001270?idApp=UINPBA00004E"
    "url" => "/08702551/0000004200000004/v2_202304070551/S0870255123001270/v2_202304070551/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
    "titulo" => "Anomalous left coronary artery from the pulmonary artery syndrome&#58; When everything falls into place"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "393"
        "paginaFinal" => "394"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Carla Marques Pires, Marisa Pereira, Jo&#227;o Antunes Sarmento, Sofia Granja, Jorge Moreira"
        "autores" => array:5 [
          0 => array:4 [
            "nombre" => "Carla"
            "apellidos" => "Marques Pires"
            "email" => array:1 [
              0 => "carlammpr@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Marisa"
            "apellidos" => "Pereira"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Jo&#227;o"
            "apellidos" => "Antunes Sarmento"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Sofia"
            "apellidos" => "Granja"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Jorge"
            "apellidos" => "Moreira"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Department of Cardiology&#44; Hospital de Braga&#44; Braga&#44; Portugal"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Department of Pediatric Cardiology&#44; Centro Hospitalar Universit&#225;rio de S&#227;o Jo&#227;o&#44; Porto&#44; Portugal"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "S&#237;ndrome de ALCAPA&#58; um caso de sucesso"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1478
            "Ancho" => 2007
            "Tamanyo" => 202134
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 10-year-old girl&#44; who has no relevant medical history&#44; experienced&#44; while running&#44; cardiac arrest with shockable rhythm &#40;ventricular fibrillation&#41;&#44; recovering spontaneous circulation after one use of electrical defibrillation&#46; The admission transthoracic echocardiogram reported normal biventricular function and unidentifiable left coronary artery ostium&#46; The computed tomography angiography and coronary angiogram revealed a huge right coronary artery&#44; an anomalous origin of left coronary artery &#40;LCA&#41; from the main pulmonary artery &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A&#8211;C&#41; and confirmed the rare diagnosis of anomalous LCA from the pulmonary artery &#40;ALCAPA&#41; syndrome&#46; The patient underwent successful heart surgery with direct reimplantation of the proximal LCA in the aortic root&#46; Two years later&#44; she remained asymptomatic with normal biventricular function on serial transthoracic echocardiograms&#46; The patient performed a treadmill stress test &#40;Bruce protocol&#41; which revealed normal functional capacity &#40;11 metabolic equivalent&#41; and was clinically negative but electrically positive for myocardial ischemia&#46; She underwent a coronary angiogram which showed no pathological narrowing of the reimplanted LCA&#46; Additionally&#44; it was noted that both coronary arteries presented normal dimensions &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>D&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">In summary&#44; the authors present a rare case of ALCAPA syndrome with uncommon and late presentation&#44; successfully treated with cardiac surgery and with an impressive reshaping of coronary dimensions during follow-up&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:1 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Conflicts of interest"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2022-03-09"
    "fechaAceptado" => "2022-05-10"
    "multimedia" => array:1 [
      0 => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1478
            "Ancho" => 2007
            "Tamanyo" => 202134
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/08702551/0000004200000004/v2_202304070551/S087025512300104X/v2_202304070551/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "93366"
    "tipo" => "SECCION"
    "pt" => array:2 [
      "titulo" => "Images in Cardiology"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "pt"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08702551/0000004200000004/v2_202304070551/S087025512300104X/v2_202304070551/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S087025512300104X?idApp=UINPBA00004E"
]
Partilhar
Informação da revista
Vol. 42. Núm. 4.
Páginas 393-394 (abril 2023)
Partilhar
Partilhar
Baixar PDF
Mais opções do artigo
Vol. 42. Núm. 4.
Páginas 393-394 (abril 2023)
Image in Cardiology
Acesso de texto completo
Anomalous left coronary artery from the pulmonary artery syndrome: When everything falls into place
Síndrome de ALCAPA: um caso de sucesso
Visitas
1144
Carla Marques Piresa,
Autor para correspondência
carlammpr@gmail.com

Corresponding author.
, Marisa Pereirab, João Antunes Sarmentob, Sofia Granjab, Jorge Moreiraa
a Department of Cardiology, Hospital de Braga, Braga, Portugal
b Department of Pediatric Cardiology, Centro Hospitalar Universitário de São João, Porto, Portugal
Este item recebeu
Informação do artigo
Texto Completo
Baixar PDF
Estatísticas
Figuras (1)
Texto Completo

A 10-year-old girl, who has no relevant medical history, experienced, while running, cardiac arrest with shockable rhythm (ventricular fibrillation), recovering spontaneous circulation after one use of electrical defibrillation. The admission transthoracic echocardiogram reported normal biventricular function and unidentifiable left coronary artery ostium. The computed tomography angiography and coronary angiogram revealed a huge right coronary artery, an anomalous origin of left coronary artery (LCA) from the main pulmonary artery (Figure 1A–C) and confirmed the rare diagnosis of anomalous LCA from the pulmonary artery (ALCAPA) syndrome. The patient underwent successful heart surgery with direct reimplantation of the proximal LCA in the aortic root. Two years later, she remained asymptomatic with normal biventricular function on serial transthoracic echocardiograms. The patient performed a treadmill stress test (Bruce protocol) which revealed normal functional capacity (11 metabolic equivalent) and was clinically negative but electrically positive for myocardial ischemia. She underwent a coronary angiogram which showed no pathological narrowing of the reimplanted LCA. Additionally, it was noted that both coronary arteries presented normal dimensions (Figure 1D).

Figure 1
(0.19MB).

In summary, the authors present a rare case of ALCAPA syndrome with uncommon and late presentation, successfully treated with cardiac surgery and with an impressive reshaping of coronary dimensions during follow-up.

Conflicts of interest

The authors have no conflicts of interest to declare.

Baixar PDF
Idiomas
Revista Portuguesa de Cardiologia
Opções de artigo
Ferramentas
en pt

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

Ao assinalar que é «Profissional de Saúde», declara conhecer e aceitar que a responsável pelo tratamento dos dados pessoais dos utilizadores da página de internet da Revista Portuguesa de Cardiologia (RPC), é esta entidade, com sede no Campo Grande, n.º 28, 13.º, 1700-093 Lisboa, com os telefones 217 970 685 e 217 817 630, fax 217 931 095 e com o endereço de correio eletrónico revista@spc.pt. Declaro para todos os fins, que assumo inteira responsabilidade pela veracidade e exatidão da afirmação aqui fornecida.