Adult type ALCAPA – A rare presentation

We report a rare congenital coronary anomaly diagnosed in a 53-year-old male who presented with recent onset breathlessness, 2-D echocardiography revealed dilated single right coronary artery, left ventricular dysfunction with regional wall motion abnormality in left anterior descending coronary artery. On coronary angiography and computed tomography, the typical anatomy of ALCAPA was revealed. Cardiac MRI revealed predominant viable myocardium. Patient underwent successful corrective surgery with improvement of ventricular function at one-month follow up.
Source: Journal of Indian College of Cardiology - Category: Cardiology Source Type: research