Author(s)

Chandrashekhar Ponde, Monika Jawanjal^*, Kaushal Pandey, Uday Gandhe

P.D. Hinduja National Hospital, Mahim, Mumbai, India.
P.D. Hinduja National Hospital, Mahim, Mumbai, India.

We report clinical, CT, invasive coronary angiography and intra-operative findings of a symptomatic elderly man with anomalous origin of left coronary artery from pulmonary artery (ALCAPA). ALCAPA is a rare syndrome with anomalous origin of left main coronary artery (LMCA) from main pulmonary artery (MPA). Survival into adulthood is rare and our case is probably the oldest survivor who has undergone two coronary system repairs for this anomaly. The unique features of our case include: 1) Absence of “q” wave myocardial infarction on ECG; 2) Absence of significant mitral regurgitation; 3) Demonstration of stress induced perfusion defects in nuclear imaging which as per our knowledge has been done for the first time in the literature; 4) A unique technique of closing anomalous LMCA origin by a pericardial patch, sutured on the internal aspect of MPA is the hallmark of this case.

ALCAPA, CT Coronary Angiography, Invasive Angiography

Ponde, C. , Jawanjal, M. , Pandey, K. and Gandhe, U. (2014) Anomalous Origin of Left Coronary Artery from Main Pulmonary Artery (ALCAPA) Who Underwent Two Coronary System Repair with a Novel Technique. Open Journal of Clinical Diagnostics, 4, 182-191. doi: 10.4236/ojcd.2014.43027.