Coronary Artery Origin Anomalies with Especial Emphasis on Delayed Diagnosis of Anomalous Origin of the Left Coronary Artery from Pulmonary Artery, A report from South of Iran

Ahmad Amirghofran; GH  Ajami; Mohammad  Borzouee; MA  Navvabi; Hamid  Amoozgar; S  Sarikhani

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Coronary Artery Origin Anomalies with Especial Emphasis on Delayed Diagnosis of Anomalous Origin of the Left Coronary Artery from Pulmonary Artery, A report from South of Iran

Author(s):

Ahmad Amirghofran¹,

GH Ajami¹,

Mohammad Borzouee¹,

MA Navvabi¹,

Hamid Amoozgar ^1,*,

S Sarikhani¹

1Cardiovascular Research Center, , Shiraz University of Medical Sciences, Shiraz, Iran

International Cardiovascular Research Journal:Vol. 3, issue 1; e68528

Published online:Mar 31, 2009

Article type:Brief Report

Received:Mar 11, 2018

Accepted:Mar 31, 2009

How to Cite:Amirghofran A, Ajami G, Borzouee M, Navvabi M, Amoozgar H, et al. Coronary Artery Origin Anomalies with Especial Emphasis on Delayed Diagnosis of Anomalous Origin of the Left Coronary Artery from Pulmonary Artery, A report from South of Iran. Int Cardiovasc Res J. 2009;3(1):e68528. doi:

Abstract

Background: The aim of this study was to determine the clinical course and outcome of coronary artery anomalies including anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) diagnosed by coronary artery angiography (CAA) at our institution. The term coronary artery anomaly refers to a wide range of congenital abnormalities, involving the origin, course and the structure of epicardial coronary arteries. Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an extremely rare, but potentially fatal congenital coronary anomaly.
Patients and Methods: The review included 21280 patients undergoing CAA at Medical Centers of Shiraz University between years 1997 -2006. The hospital records of all patients with diagnosis of ALCAPA reviewed for analysis. Data were expressed as percentages.
Results: There were 149 (0.7 %) cases of coronary anomalies, including 9 (6.04%) proven cases of ALCAPA. In ALCAPA group ,five patients presented with congestive heart failure (CHF) and a non-specific systolic murmur on examination. Isolated mitral valve regurgitation (MR), cerebrovascular accident due to embolization of a mural thrombus, and chest pain were the main presentations in three patients. Two of the patients were under follow up with presumptive diagnosis of coronary artery fistula. The patients aged between 4 months and 35 years. Surgical correction done for all the patients with ALCAPA by direct reimplantation in 8 patients and Takeuchi technique in one. We had one early hospital mortality in our group.
Conclusion: ALCAPA should be considered in differential diagnosis of any patient presenting with dilated cardiomyopathy, CHF, MR or chest pain syndrome. Awareness of such pathology can prevent or decrease the morbidity and mortality of a potentially fatal congenital heart disease.

Keywords

Coronary Artery Anomalies

ALCAPA

Delayed Diagnosis

Reimplantaion

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References

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Presentation of Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery with Left Sided Coronary Ostium in an Adult Patient

Zahra Ojaghi Haghighi,

H Poorzand,

HA Bassiri

Ojaghi Haghighi Z, Poorzand H, Bassiri H. Presentation of Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery with Left Sided Coronary Ostium in an Adult Patient. Int Cardiovasc Res J. 2009;3(2):e68469. doi:

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Anomalous Origin of Right Coronary Artery from Distal Left Circumflex Artery: A Very Rare Variant of Single Coronary Artery Anomaly

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Gholoobi A. Anomalous Origin of Right Coronary Artery from Distal Left Circumflex Artery: A Very Rare Variant of Single Coronary Artery Anomaly. Int Cardiovasc Res J. 2016;10(3):e10180. doi:

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The Surgical Outcome of Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery

Tasneem Muzaffar,

Farooq Ahmad Ganie,

Sunil Gpoal Swamy,

Nasir-ud-din Wani

Muzaffar T, Ahmad Ganie F, Gpoal Swamy S, Wani N. The Surgical Outcome of Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery. Int Cardiovasc Res J. 2017;8(2):e12030. doi:

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Missed Diagnosis and Treatment Dilemma: Large Patent Ductus Arteriosus Combined with Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery

Ayca Ata Korkmaz,

Hakan Erkan,

Aysegul Karadeniz,

Cihan Orem

Korkmaz AA, Erkan H, Karadeniz A, Orem C. Missed Diagnosis and Treatment Dilemma: Large Patent Ductus Arteriosus Combined with Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery. I J Radiol. 2017;14(2):e30713. doi: https://doi.org/10.5812/iranjradiol.30713

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Anomalous Origin of the Right Coronary Artery from the Mid-Portion of the Left Anterior Descending Artery in a Patient with Single Left Coronary Artery: A Rare Coronary Artery Anomaly and Review of Literature

Mahmoud Beheshti Monfared,

Hamid Ghaderi,

Taraneh Faghihi Langroudi,

Seyedeh Adeleh Mirjafari,

Mahnoosh Foroughi,

Mohammad Forozeshfard

,et al.

Beheshti Monfared M, Ghaderi H, Faghihi Langroudi T, Mirjafari SA, Foroughi M, et al. Anomalous Origin of the Right Coronary Artery from the Mid-Portion of the Left Anterior Descending Artery in a Patient with Single Left Coronary Artery: A Rare Coronary Artery Anomaly and Review of Literature. I J Radiol. 2017;14(1):e13458. doi: https://doi.org/10.5812/iranjradiol.23484

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Author(s):

Ahmad Amirghofran:[PubMed][Scholar]
GH Ajami:[PubMed][Scholar]
Mohammad Borzouee:[PubMed][Scholar]
MA Navvabi:[PubMed][Scholar]
Hamid Amoozgar :[PubMed][Scholar]
S Sarikhani:[PubMed][Scholar]

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Coronary Artery Origin Anomalies with Especial Emphasis on Delayed Diagnosis of Anomalous Origin of the Left Coronary Artery from Pulmonary Artery, A report from South of Iran

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