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Fereshteh Ghaderi, Arash Gholoobi and Aliasghar Moeinipour Unique Echocardiographic Markers of Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA) in the Adult Echocardiography 31

Version of Record online: 15 OCT 2013 | DOI: 10.1111/echo.12378


Late presentation of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is rare. Herein, we report a 38-year-old male with ALCAPA presenting with exertional syncope. Echocardiography revealed mild left ventricular enlargement, abnormal flow-pattern in the ventricular septum and dilatation of the right coronary artery. Pulsed-wave Doppler echocardiography with sample volume in the coronary ostium showed systolic coronary flow predominancy. This unique echocardiographic finding is characteristic for ALCAPA and can differentiate it from other coronary anomalies. Coronary angiography confirmed the ALCAPA syndrome. Surgical correction was planned.

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