Document Detail

An unusual presentation of an anomalous left coronary artery arising from the pulmonary artery (ALCAPA) in an adult: anterior papillary muscle rupture causing severe mitral regurgitation.
MedLine Citation:
PMID:  19054023     Owner:  NLM     Status:  MEDLINE    
We describe a 29-year-old male, previously in good health, with no history of angina pectoris and no risk factors for ischemic heart disease presenting with biventricular failure and severe mitral valve regurgitation. There were no signs or serological test results to suggest infective endocarditis. Transthoracic echocardiography (TTE) revealed severe anterior mitral valve prolapse secondary to papillary muscle rupture, severe mitral valve regurgitation, as well as an anterior myocardial wall hypokinesis. Parasternal short-axis view showed an anomalous left coronary artery arising from the pulmonary artery (ALCAPA), which was confirmed on coronary angiography. This is an unusual presentation of ALCAPA in an adult.
Louis Hofmeyr; Johannes Moolman; Edmund Brice; Helmuth Weich
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-12-02
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  26     ISSN:  1540-8175     ISO Abbreviation:  Echocardiography     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-22     Completed Date:  2009-07-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  474-7     Citation Subset:  IM    
Department of Internal Medicine, Tygerberg Hospital, Stellenbosch University, South Africa.
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MeSH Terms
Coronary Vessel Anomalies / ultrasonography*
Coronary Vessels / ultrasonography
Mitral Valve Insufficiency / etiology*,  ultrasonography*
Papillary Muscles / injuries*,  ultrasonography*
Pulmonary Artery / abnormalities*,  ultrasonography*
Rupture / etiology,  ultrasonography
Comment In:
Echocardiography. 2009 Apr;26(4):473   [PMID:  19382946 ]

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