Untreated incomplete ALCAPA in an adult resulting in mitral regurgitation and reduced left ventricular ejection fraction: case report
According to guidelines, computed tomography angiography is the most effective diagnostic method for anomalous origin of coronary artery from the pulmonary artery (ACAPA). Due to ACAPA's extreme rarity, standard indications for surgical intervention in incomplete ALCAPA are not established. Surgical correction appears most suitable for symptomatic patients. It should also be considered for asymptomatic patients with ventricular dysfunction or myocardial ischaemia caused by the coronary anomaly.
Authors
- S Lukacín (ORCID: https://orcid.org/0000-0001-5922-5958)
- Vilém Rohn (ORCID: https://orcid.org/0000-0001-7493-2140)
- Tomáš Toporcer (ORCID: https://orcid.org/0000-0003-4195-5180)
- Marianna Vachalcová (ORCID: https://orcid.org/0000-0002-6653-6559)
- Adrián Kolesár (ORCID: https://orcid.org/0000-0002-9390-7191)
Institutions
- University of Pavol Jozef Šafárik (SK)
- Charles University (CZ)
- General University Hospital in Prague (CZ)
Publication Details
- Journal
- European Heart Journal - Case Reports
- Published
- 2025-09-29
- DOI
- https://doi.org/10.1093/ehjcr/ytaf482
- Primary Topic
- Cardiac Valve Diseases and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00