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Anomalous origin of the left coronary artery from the pulmonary artery in infancy with preserved left ventricular function: Potential pitfalls and clues to diagnosis


1 Department of Cardiology, Malabar Institute of Medical Sciences, Kozhikode, India
2 Department of Cardiology, Kerala Institute of Medical Sciences, Trivandrum, India
3 Department of Pediatric Cardiology, Amrita Institute of Medical Sciences and Research Center, Kochi, India

Correspondence Address:
Raman Krishna Kumar
Pediatric Cardiology, Amrita Institute of Medical Sciences, Cochin-682 026, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.41061

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Year : 2008  |  Volume : 1  |  Issue : 1  |  Page : 65-67

 

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Left ventricular dysfunction is almost invariably associated with anomalous origin of the left coronary artery from pulmonary artery (ALCAPA) that presents during infancy. We report three cases of infants who presented with ALCAPA with relatively well-preserved left ventricular systolic function with a view to illustrate the mechanisms that help maintain left coronary perfusion and discuss the specific echocardiographic clues that suggest diagnosis in these circumstances.






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1 Department of Cardiology, Malabar Institute of Medical Sciences, Kozhikode, India
2 Department of Cardiology, Kerala Institute of Medical Sciences, Trivandrum, India
3 Department of Pediatric Cardiology, Amrita Institute of Medical Sciences and Research Center, Kochi, India

Correspondence Address:
Raman Krishna Kumar
Pediatric Cardiology, Amrita Institute of Medical Sciences, Cochin-682 026, Kerala
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.41061

Rights and Permissions

Left ventricular dysfunction is almost invariably associated with anomalous origin of the left coronary artery from pulmonary artery (ALCAPA) that presents during infancy. We report three cases of infants who presented with ALCAPA with relatively well-preserved left ventricular systolic function with a view to illustrate the mechanisms that help maintain left coronary perfusion and discuss the specific echocardiographic clues that suggest diagnosis in these circumstances.






[FULL TEXT] [PDF]*


        
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