https://doi.org/10.4081/monaldi.2022.2246

Anomalous left coronary artery from pulmonary artery (ALCAPA) as a silent cause of mitral regurgitation in children

Echocardiography showing dilated left atrium and ventricle and non-coapting mitral valve leaflets.
Vol. 93 No. 1 (2023)
Submitted: February 22, 2022
Accepted: May 19, 2022
Published: June 23, 2022
Bland-White-Garland syndrome, mitral valve insufficiency, echocardiography
Abstract Views: 796
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Authors

Naela Ashraf
naelaashraf097@gmail.com
https://orcid.org/0000-0001-8843-9525
Department of Cardiac Surgery, Liaquat National Hospital, Karachi, Pakistan.
Suha Zubairi
https://orcid.org/0000-0003-1523-2501
Department of Cardiac Surgery, Liaquat National Hospital, Karachi, Pakistan.
Mehnaz Atiq
Department of Paediatric Cardiology, Liaquat National Hospital, Karachi, Pakistan.
Farheen Ahmed
Department of Paediatric Echocardiography, Liaquat National Hospital, Karachi, Pakistan.
Muneer Amanullah
https://orcid.org/0000-0002-6260-3806
Department of Cardiac Surgery, Liaquat National Hospital, Karachi, Pakistan.

Anomalous left coronary artery from pulmonary artery (ALCAPA), also known as Bland-White-Garland syndrome, is a rare cardiac disease. This condition may present with complications such as myocardial infarction, left ventricular dilatation, mitral regurgitation, and left heart failure in children. We report a case of a four-year-old boy who presented with shortness of breath, palpitations, and recurrent upper respiratory tract infections. He was diagnosed with mitral regurgitation. During the surgery, left coronary artery (LCA) was not present in its anatomical position and ALCAPA was identified. One should keep in mind the possibility of ALCAPA in presentation of mitral regurgitation in children despite not being reported in echocardiography.

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How to Cite

Ashraf, Naela, Suha Zubairi, Mehnaz Atiq, Farheen Ahmed, and Muneer Amanullah. 2022. “Anomalous Left Coronary Artery from Pulmonary Artery (ALCAPA) As a Silent Cause of Mitral Regurgitation in Children”. Monaldi Archives for Chest Disease 93 (1). https://doi.org/10.4081/monaldi.2022.2246.
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