Juan Du1* and Cong Chen2
1Tianjin Medical University, Tianjin, China
2Tianjin Children’s Hospital, Tianjin, China
*Corresponding Author:Juan Du, Tianjin Medical University, Tianjin, China.
Received: January 27, 2020; Published: February 06, 2020
Anomalous of the Left Coronary Artery Originating from the Pulmonary Artery (ALCAPA) is a rare congenital heart disease. The onset time and severity of clinical symptoms of ALCAPA were determined by the rate of pulmonary artery pressure decline, the opening of collateral circulation, and the stenosis of the opening of the left coronary artery at the origin of ectopic location. If there is little or no collateral circulation between the coronary arteries, symptoms of myocardial ischemia and heart failure may occur early in the child. If abundant collateral circulation is formed between the left coronary artery of ectopic origin and the right coronary artery of normal position, the left coronary artery can maintain enough blood perfusion, and the symptoms will appear later. But "steal phenomenon" in the left coronary artery, can also cause hypoxia and ischemia of the myocardium, leading to significant cardiac enlargement and mitral regurgitation. Early diagnoisis and surgical treatment can significantly improve the prognosis of ALCAPA. We also conducted a retrospective case of a child with ALCAPA, to better understand the pathophysiology.
Keywords: Pulmonary Artery; Children; Congenital Heart Disease; ALCAPA
Citation: Juan Du and Cong Chen. “Anomalous of the Left Coronary Artery Originating from the Pulmonary Artery in Children - A Mini Review and a Case Report”. Acta Scientific Paediatrics 3.3 (2020): 13-16.
Copyright: © 2020 Juan Du and Cong Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.