Transthoracic 3 Dimensional Real Time Echocardiography for the Diagnosis of (ALCAPA) Anomalous Left Coronary Artery from Pulmonary Artery. | [Pakistan Heart Journal • 2019]

Author(s):

1. Salim Ahmad: Department of Pediatric Cardiology, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia

2. Irfan Saleem: Consultant Pediatric Cardiologist, Prince Sultan Cardiac Center, Riyadh,Saudi Arabia

3. Merna Attiya: Department of Pediatric Cardiology, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia

Abstract:

Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare but clinically significant form of congenital heart disease, usually causing myocardial dysfunction and heart failure in infancy. Approximately 90% of patients die within first year of life if left untreated. Cardiac surgery (re implantation of left coronary artery to aorta) is performed immediately after diagnosis. Usually the diagnosis is suspected on transthoracic echocardiography (TTE) and then confirmed by coronary angiogram. We are describing the use of real time 3 dimensional echocardiography (RT3DE) for confirmation of the diagnosis of ALCAPA in our 2 months old patient. The RT3DE images were reviewed and appreciated by the cardiac surgeon. Patient had successful ALCAPA repair without being subjected to invasive procedure of coronary angiography

Page(s): 185-187

DOI: DOI not available

Published: Journal: Pakistan Heart Journal, Volume: 52, Issue: 2, Year: 2019

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