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KMID : 0857220070110030234
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Journal of the Korean Pediatric Cardiology Society
2007 Volume.11 No. 3 p.234 ~ p.239
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Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery : Report of an Adult Case.
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Kim Tae-Yeun
Jae Seo-Jin
Jang Gi-Young
Son Chang-Sung
Lee Joo-Won
Kim Yong-Jin
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Abstract
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Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), also termed Bland-White-Garland syndrome, is a rare congenital cardiac anomaly characterized by myocardial ischemia which becomes symptomatic during early infancy leading to infarction, left heart failure or even death. More than 90% of patients can be dead within first year of life if untreated, so adult type ALCAPA without surgical correction is quitely rare. We present a case of a 20-year-old man with ALPACA syndrome whose diagnosis took several years to be made because he was mistaken to have organic mitral regurgitation.
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KEYWORD
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Anomalous origin of the left coronary artery from the pulmonary artery, Bland-White-Garland syndrome, Adult
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