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Image in Cardiology
Anomalous left coronary artery from the pulmonary artery syndrome: When everything falls into place
Síndrome de ALCAPA: um caso de sucesso
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
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      "es" => array:1 [
        "titulo" => "S&#237;ndrome de ALCAPA&#58; um caso de sucesso"
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    "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>"
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