Late adult presentation of ALCAPA syndrome: need for a new clinical classification? A case report and literature overview.

ABSTRACT:

Background

Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA) is a very uncommon congenital coronary artery anomaly, most commonly presenting in early infancy. Late adult presentation of ALCAPA syndrome is extremely rare.

Case summary

We present a case of a 76-year-old patient with first presentation of ALCAPA. The coronary anomaly was first diagnosed during elective coronary angiography. The case was discussed at the Heart Team meeting and as the patient was asymptomatic, had good coronary collateral circulation, a medical treatment strategy was chosen and the patient was discharged in a good physical condition. During 3 years of follow-up, the patient has experienced no cardiovascular complications.

Discussion

We hereby also discuss

SUBMITTER: Lotman EM 

PROVIDER: S-EPMC7793133 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature