Síndrome de ALCAPA en adulto: Caso clínico

Anomalies of the origin of coronary arteries are detected in 0.5-1.5% of all angiographies. Anomalous origin of the left main trunk is the most uncommon and its origin from pulmonary artery in adults is exceptional, usually because it is associated with a short survival. We report a 49-year-old fema...

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Autores principales:	Ugalde P,Héctor, Rozas A,Sebastián, Sanhueza F,María Ignacia, Yubini L,María Cecilia, García B,Sebastián
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2017
Materias:	Bland White Garland Syndrome Cardiovascular Abnormalities Coronary Vessel Anomalies
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000100016
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spelling	oai:scielo:S0034-988720170001000162017-05-15Síndrome de ALCAPA en adulto: Caso clínicoUgalde P,HéctorRozas A,SebastiánSanhueza F,María IgnaciaYubini L,María CeciliaGarcía B,Sebastián Bland White Garland Syndrome Cardiovascular Abnormalities Coronary Vessel Anomalies Anomalies of the origin of coronary arteries are detected in 0.5-1.5% of all angiographies. Anomalous origin of the left main trunk is the most uncommon and its origin from pulmonary artery in adults is exceptional, usually because it is associated with a short survival. We report a 49-year-old female, presenting with a two months history of angina. The exercise electrocardiogram suggested ischemia. A coronary angiography was performed, showing the absence of the left main trunk in the left coronary sinus, a dilated right coronary artery, with no lesions and extensive collateral circulation to the anterior descending and circumflex arteries, with inverted flow and the left main trunk draining to the pulmonary artery. The left ventricle was mildly dilated with middle and apical anterior hypokinesia. Global systolic function was conserved. A surgical correction was decided, occluding the left main anomalous origin and performing a coronary artery bypass grafting from the left internal thoracic artery. The patient was discharged with no complications. At two years of follow-up she is symptom free and has a normal physical capacity.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.145 n.1 20172017-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000100016es10.4067/S0034-98872017000100016
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Bland White Garland Syndrome Cardiovascular Abnormalities Coronary Vessel Anomalies
spellingShingle	Bland White Garland Syndrome Cardiovascular Abnormalities Coronary Vessel Anomalies Ugalde P,Héctor Rozas A,Sebastián Sanhueza F,María Ignacia Yubini L,María Cecilia García B,Sebastián Síndrome de ALCAPA en adulto: Caso clínico
description	Anomalies of the origin of coronary arteries are detected in 0.5-1.5% of all angiographies. Anomalous origin of the left main trunk is the most uncommon and its origin from pulmonary artery in adults is exceptional, usually because it is associated with a short survival. We report a 49-year-old female, presenting with a two months history of angina. The exercise electrocardiogram suggested ischemia. A coronary angiography was performed, showing the absence of the left main trunk in the left coronary sinus, a dilated right coronary artery, with no lesions and extensive collateral circulation to the anterior descending and circumflex arteries, with inverted flow and the left main trunk draining to the pulmonary artery. The left ventricle was mildly dilated with middle and apical anterior hypokinesia. Global systolic function was conserved. A surgical correction was decided, occluding the left main anomalous origin and performing a coronary artery bypass grafting from the left internal thoracic artery. The patient was discharged with no complications. At two years of follow-up she is symptom free and has a normal physical capacity.
author	Ugalde P,Héctor Rozas A,Sebastián Sanhueza F,María Ignacia Yubini L,María Cecilia García B,Sebastián
author_facet	Ugalde P,Héctor Rozas A,Sebastián Sanhueza F,María Ignacia Yubini L,María Cecilia García B,Sebastián
author_sort	Ugalde P,Héctor
title	Síndrome de ALCAPA en adulto: Caso clínico
title_short	Síndrome de ALCAPA en adulto: Caso clínico
title_full	Síndrome de ALCAPA en adulto: Caso clínico
title_fullStr	Síndrome de ALCAPA en adulto: Caso clínico
title_full_unstemmed	Síndrome de ALCAPA en adulto: Caso clínico
title_sort	síndrome de alcapa en adulto: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2017
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000100016
work_keys_str_mv	AT ugaldephector sindromedealcapaenadultocasoclinico AT rozasasebastian sindromedealcapaenadultocasoclinico AT sanhuezafmariaignacia sindromedealcapaenadultocasoclinico AT yubinilmariacecilia sindromedealcapaenadultocasoclinico AT garciabsebastian sindromedealcapaenadultocasoclinico
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Síndrome de ALCAPA en adulto: Caso clínico

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