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Echocardiographic presentation of anomalous origin of the left coronary artery from the pulmonary artery*

Published online by Cambridge University Press:  16 December 2015

Norman H. Silverman
Norman H. Silverman*
Affiliation:
Department of Paediatrics (Cardiology), Stanford University and the University of California, San Francisco, California, United States of America
*
Correspondence to: N. H. Silverman, MD, DSc (Med), Professor Emeritus, Department of Pediatrics, Division of Pediatric Cardiology, Stanford University Medical Center, 750 Welch Road, Suite 305, Palo Alto, CA 94304, United States of America. Tel: +650 723 7913; Fax: +650 497 8422; E-mail: [email protected]
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Abstract

In the 1970s, diagnosing anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) was often uncertain using imaging alone; however, with the advances in high-frequency transducers, advanced image processing, and other ultrasound modalities such as Doppler colour flow imaging, tissue Doppler imaging, and speckle tracking to asses regional wall motion abnormalities, modern echocardiography now permits accurate diagnosis of ALCAPA with greater certainty. Although many consider ultrasound to be the only imaging test necessary if there is a question as to the diagnosis, other imaging modalities such as MRI, CT, and cardiac catheterisation with angiography remain valuable complementary tests, especially in older patients.

Keywords

Ultrasound diagnosisischaemic heart disease in childrenBland, White, and Garland syndrome
Type
Original Articles
Information
Cardiology in the Young , Volume 25 , Issue 8: HeartWeek 2015 , December 2015 , pp. 1512 - 1523
Copyright
© Cambridge University Press 2015 

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Footnotes

*

Presented at the Johns Hopkins All Children’s Heart Institute 15th Annual International Symposium on Congenital Heart Disease, Saint Petersburg, Florida, United States of America, from Friday, 6 February, 2015 to Monday, 9 February, 2015.

References

1.Brooks, SJ. Two cases of an abnormal coronary artery of the heart arising from the pulmonary, with some effect of this anomaly of producing cirsoid dilatation of the vessels. J Anat Physiol 1886; 20: 26.Google Scholar
2.Abbott, M. Congenital cardiac disease. In Osler W (ed.) Modern Medicine: Its Theory and Practice IV: Diseases of the circulatory system; diseases of the blood; diseases of the spleen, thymus, and lymph glands. Lea & Febiger, Philadelphia, PA and New York, NY, 1908.Google Scholar
3.Abbott, ME. Atlas of Congenital Cardiac Disease. American Heart Association, New York, NY, 1936.Google Scholar
4.Keith, JD. The anomalous origin of the left coronary artery from the pulmonary artery. Br Heart J 1959; 21: 149–161.CrossRefGoogle ScholarPubMed
5.Alexander, RW, Griffith, GC. Anomalies of the coronary arteries and their clinical significance. Circulation 1956; 14: 800–805.CrossRefGoogle ScholarPubMed
6.Fontana, RS, Edwards, JE. Congenital Cardiac Disease: A Review of 357 Case Studies Pathologically. WB Saunders, Philadephia and New York, 1962, 291pp.Google Scholar
7.Neufeld, HN, Schneeweiss, A. Coronary Artery Disease in Infants and Children. Lea and Febiger, Philadelphia, PA, 1983, 1–30.Google Scholar
8.Davis, JA, Cecchin, F, Jones, TJ, Portman, MA. Major coronary artery anomalies in a pediatric population: incidence and clinical importance. J Am Coll Cardiol 2001; 37: 593–597.CrossRefGoogle Scholar
9.Wesselhoft, H, Fawcet, 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: 403–425.CrossRefGoogle Scholar
10.Chang, RK-R, Allada, V. Electrocardiographic and echocardiographic features that distinguish anomalous origin of the left coronary artery from pulmonary artery from idiopathic dilated cardiomyopathy. Pediatr Cardiol 2001; 22: 3–10.CrossRefGoogle ScholarPubMed
11.Bland, EF, White, PD, Garland, J. Congenital anomalies of the coronary arteries: report of an unusual case associated with cardiac hypertrophy. Am Heart J 1933; 8: 787–801.CrossRefGoogle Scholar
12.Fisher, EA, Sepehri, B, Lendrum, B, et al. Two-dimensional echocardiographic visualization of the left coronary artery in anomalous origin of the left coronary artery from the pulmonary artery. Circulation 1981; 63: 698–704.CrossRefGoogle ScholarPubMed
13.Schmidt, KG, Cooper, MJ, Silverman, NH, Stanger, P. Pulmonary artery origin of the left coronary artery: diagnosis by two-dimensional echocardiography, pulsed Doppler ultrasound and color flow mapping. J Am Coll Cardiol 1988; 11: 396–402.CrossRefGoogle ScholarPubMed
14.Silverman, NH. Pediatric Echocardiography. Williams and Wilkins, Baltimore, MD, 1993, 428–435.Google Scholar
15.Cohen, MS, Herlong, RJ, Silverman, NH. Echocardiographic imaging of anomalous origin of the coronary arteries. Cardiol Young 2010; 20 (Suppl 3): 26–34.CrossRefGoogle ScholarPubMed
16.Turley, K, Szarnicki, RJ, Flachsbart, KD, Richter, RC, Popper, RW, Tarnoff, H. Aortic implantation is possible in all cases of anomalous origin of the left coronary artery from the pulmonary artery. Ann Thorac Surg 1995; 60: 84–89.CrossRefGoogle ScholarPubMed
17.Barbero-Marcial, M, Tanamati, C, Atik, E, Ebaid, M, Jatene, A. Anomalous origin of the left coronary artery from the pulmonary artery with intramural aortic route: diagnosis and surgical treatment. J Thorac Cardiovasc Surg 1999; 117: 823–824.CrossRefGoogle ScholarPubMed
18.Levin, SE, Dansky, R, Kinsley, RH. Origin of left coronary artery from right pulmonary artery co-existing with coarctation of the aorta. Int J Cardiol 1990; 27: 31–36.CrossRefGoogle ScholarPubMed
19.Ando, M, Mee, RBB, Duncan, BW, Drummond-Webb, JJ, Seshadri, SG, Igor Mesia, CI. Creation of a dual-coronary system for anomalous origin of the left coronary artery from the pulmonary artery utilizing the trapdoor flap method. Eur J Cardiothorac Surg 2002; 22: 576–581.CrossRefGoogle ScholarPubMed
20.Bajona, P, Maselli, D, Dore, R, Minzioni, G. Anomalous origin of the left main artery from the pulmonary artery: adult presentation with systemic collateral supply and giant right coronary artery aneurysm. J Thorac Cardiovasc Surg 2007; 134: 518–520.CrossRefGoogle ScholarPubMed