Sudden Cardiac Arrest in an Adult with Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA): Case Report.
Francesca Romana PrandiAli N ZaidiGina LaRoccaMichael HadleyMaria RiasatMalcolm O AnastasiusPedro R MorenoSamin SharmaAnnapoorna KiniRaghav MurthyPercy BoatengStamatios LerakisPublished in: International journal of environmental research and public health (2022)
ALCAPA diagnosis is not confined to childhood, and it represents a rare cause of life-threatening arrhythmias and SCD in the adult population. Surgical correction is recommended, regardless of age, presence of symptoms or inducible myocardial ischemia. Multimodality imaging is crucial for diagnosis, management planning and follow up. Assessment of the risk of recurrent ventricular arrhythmias, despite full revascularization, should be performed in all adults with ALCAPA. Myocardial scar detected via late gadolinium enhancement represents a potential irreversible substrate for ventricular arrhythmias, and it provides additional information to evaluate indication of an ICD for secondary prevention.
Keyphrases
- pulmonary artery
- coronary artery
- left ventricular
- cardiac arrest
- pulmonary hypertension
- case report
- pulmonary arterial hypertension
- congenital heart disease
- heart failure
- high resolution
- cardiopulmonary resuscitation
- catheter ablation
- percutaneous coronary intervention
- computed tomography
- health information
- magnetic resonance
- contrast enhanced
- photodynamic therapy
- human health
- depressive symptoms
- sleep quality
- fluorescence imaging