Anomalous origin of left coronary artery from pulmonary artery (ALCAPA)

Zilfah Younus, Rawail Iftikhar, Iftikhar Ahmed
2013 Journal of the College of Physicians and Surgeons  
Anomalous origin of the left coronary artery from the pulmonary artery also recognized as Bland White Garland syndrome is a very rare congenital condition. A two-months old baby boy presented with dyspnoea for two weeks and a pansystolic murmur on auscultation. The base line investigations showed cardiomegaly and bilateral basal haze on X-ray chest. ECG showed ST elevation in leads l and AVl and echocardiography showed situs solitus, levocardia, hypokinetic intraventricular septum, ejection
more » ... eptum, ejection fraction of 30%, mitral regurgitation of grade-I and an anomalous origin of the left coronary artery from pulmonary artery was diagnosed. Patient was in left heart failure. It was rectified surgically by creating a transpulmonary tunnel (Takeuchi repair). Postoperative course was uneventful and he was finally discharged in stable condition.
doi:10.2013/jcpsp.743744 pmid:24112263 fatcat:bkffix7rgrgkje34ph4e5y3jqm