Electronic ISSN 2287-0237

VOLUME

THE SURVIVAL OF AN OLD LADY WITH ALCAPA

SEPTEMBER 2013 - VOL.6 | CASE REPORT
Keywords

ALCAPA syndrome, Bland-White-Garland syndrome

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Figure 1: ECG on admission showed atrial fibrillation, RBBB with secondary ST-T changes.
Figure 2: Left: Chest film five months before this event showed cardiomegaly and prominent pulmonary trunk (A). Right: short axis view of the aortic root and pulmonary trunk that showed origin of RCA and LMA.
Figure 3: Left heart CAG images revealed (A) the RCA which was in the right position (A) with no show of the left coronary artery origin at the left cusp sinus ,
(B) the left coronary arteries (white arrow) were supplied by the right to left collaterals (black arrow).
Figure 4: Volume rendering images of the 256- slice MDCT revealed the large RCA which originated from the right cusp and the LMA originated from the MPA (ALCAPA).
AO= Aorta, MPA= Main pulmonary artery, LMA = Left main artery, LAD = Left descending coronary artery, LCX= Left circumflex coronary artery, RCA = Right coronary artery, PL= Posterior lateral artery, PDA = Posterior descending artery
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