Case report of symptomatic very late presentation of ALCAPA syndrome: from AL-CAPONE to Robin Hood of coronary artery anomalies

Objective: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), also known as Bland-White-Garland syndrome, is a rare congenital condition which can manifest as various cardiac symptoms. Case presentation: A 64-year-old male patient presented with functional class det...

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Main Authors: Juan Francisco Rodriguez Alvarado, Juan Guzman Olea, Gabriel Guzman Olea, Jorge Guillermo Arenas Fonseca, Zuriel Almeyda Dominguez, Rolando Vicente Colmenares
Format: Article
Language:English
Published: Center for Scientific Research and Development of Education. 2023-06-01
Series:Heart Vessels and Transplantation
Subjects:
Online Access:http://hvt-journal.com/articles/art394
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author Juan Francisco Rodriguez Alvarado
Juan Guzman Olea
Gabriel Guzman Olea
Jorge Guillermo Arenas Fonseca
Zuriel Almeyda Dominguez
Rolando Vicente Colmenares
author_facet Juan Francisco Rodriguez Alvarado
Juan Guzman Olea
Gabriel Guzman Olea
Jorge Guillermo Arenas Fonseca
Zuriel Almeyda Dominguez
Rolando Vicente Colmenares
author_sort Juan Francisco Rodriguez Alvarado
collection DOAJ
description Objective: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), also known as Bland-White-Garland syndrome, is a rare congenital condition which can manifest as various cardiac symptoms. Case presentation: A 64-year-old male patient presented with functional class deterioration and typical angina to hospital. He was stratified by an ischemia-induced study and underwent coronary angiography that found to have ALCAPA. Conclusions: This is a rare case of ALCAPA due to the patient´s age. Survival to adulthood is possible due to collateral circulation, though the cost is the presence of heart failure, and wherein due to the high surgical risk, in this case optimal medical therapy was decided.
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spelling doaj.art-18271e6b5ae74795bee6e999c746abdd2023-06-06T02:18:54ZengCenter for Scientific Research and Development of Education.Heart Vessels and Transplantation1694-78861694-78942023-06-017310.24969/hvt.2023.394Case report of symptomatic very late presentation of ALCAPA syndrome: from AL-CAPONE to Robin Hood of coronary artery anomaliesJuan Francisco Rodriguez Alvarado 0https://orcid.org/0000-0002-1347-7858 Juan Guzman Olea1 Gabriel Guzman Olea2Jorge Guillermo Arenas Fonseca3Zuriel Almeyda Dominguez4Rolando Vicente Colmenares5Instituto Mexicano Del Seguro Social, Puebla, MexicoInstituto Mexicano Del Seguro Social, Puebla, MexicoInstituto Mexicano Del Seguro Social, Puebla, MexicoInstituto Mexicano Del Seguro Social, Puebla, MexicoInstituto Mexicano Del Seguro Social, Puebla, MexicoInstituto Mexicano Del Seguro Social, Puebla, MexicoObjective: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), also known as Bland-White-Garland syndrome, is a rare congenital condition which can manifest as various cardiac symptoms. Case presentation: A 64-year-old male patient presented with functional class deterioration and typical angina to hospital. He was stratified by an ischemia-induced study and underwent coronary angiography that found to have ALCAPA. Conclusions: This is a rare case of ALCAPA due to the patient´s age. Survival to adulthood is possible due to collateral circulation, though the cost is the presence of heart failure, and wherein due to the high surgical risk, in this case optimal medical therapy was decided.http://hvt-journal.com/articles/art3941bland-white-garland syndromemyocardial infarctioncongenital diseasesalcapa
spellingShingle Juan Francisco Rodriguez Alvarado
Juan Guzman Olea
Gabriel Guzman Olea
Jorge Guillermo Arenas Fonseca
Zuriel Almeyda Dominguez
Rolando Vicente Colmenares
Case report of symptomatic very late presentation of ALCAPA syndrome: from AL-CAPONE to Robin Hood of coronary artery anomalies
Heart Vessels and Transplantation
1
bland-white-garland syndrome
myocardial infarction
congenital diseases
alcapa
title Case report of symptomatic very late presentation of ALCAPA syndrome: from AL-CAPONE to Robin Hood of coronary artery anomalies
title_full Case report of symptomatic very late presentation of ALCAPA syndrome: from AL-CAPONE to Robin Hood of coronary artery anomalies
title_fullStr Case report of symptomatic very late presentation of ALCAPA syndrome: from AL-CAPONE to Robin Hood of coronary artery anomalies
title_full_unstemmed Case report of symptomatic very late presentation of ALCAPA syndrome: from AL-CAPONE to Robin Hood of coronary artery anomalies
title_short Case report of symptomatic very late presentation of ALCAPA syndrome: from AL-CAPONE to Robin Hood of coronary artery anomalies
title_sort case report of symptomatic very late presentation of alcapa syndrome from al capone to robin hood of coronary artery anomalies
topic 1
bland-white-garland syndrome
myocardial infarction
congenital diseases
alcapa
url http://hvt-journal.com/articles/art394
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