ALCAPA – A Rare Cause of Effort Angina in an Adult: A case report

Authors

Henita Joshna Menezes, PhD Scholar, Manipal College of Nursing (MCON), Manipal Academy of Higher Education (MAHE), Manipal, IndiaFollow
Raghav R. Nagpal, Registrar, Department of Cardiology, Kasturba Medical College (KMC), MAHE, Manipal, India.Follow
Sonia R B D'Souza, Professor and Head, Department of Obstetric and Gynaecological Nursing, MCON, MAHE, Manipal, India.Follow
Ramachandran Padmakumar, Professor and Head, Department of Cardiology, KMC, MAHE, Manipal, India.Follow

Designation

Henita Joshna Menezes - PhD Scholar, Manipal College of Nursing (MCON), Manipal Academy of Higher Education (MAHE), Manipal, India.

Raghav R Nagpal - Registrar, Department of Cardiology, Kasturba Medical College (KMC), MAHE, Manipal, India.

Sonia R B D’Souza - Professor and Head, Department of Obstetric and Gynaecological Nursing, MCON, MAHE, Manipal, India.

Ramachandran Padmakumar - Professor and Head, Department of Cardiology, KMC, MAHE, Manipal, India.

Abstract

Introduction: ALCAPA – ‘Anomalous Left Coronary Artery from the Pulmonary Artery’, it is an infrequent congenital cardiovascular abnormality distinguished by the ‘left coronary artery’ originating from the ‘pulmonary artery’ in place of its normal origin, the aorta. Failing to treat this critical condition, might result in myocardial ischemia, left ventricular dysfunction, and a risk of sudden heart-related death.

Clinical manifestations: Exertional chest pain and fatigue since 6 months.

Diagnosis, therapeutic intervention, and outcomes: The diagnosis was established with the help of transoesophageal echocardiography and coronary angiogram. Surgical repair by Left Coronary Artery reimplantation was done with a successful outcome.

Conclusion: ALCAPA may rarely be present in adulthood. The prognosis in these cases is significantly better than in patients presenting in early childhood.

Recommended Citation

Menezes, Henita Joshna; Nagpal, Raghav R.; D'Souza, Sonia R B; and Padmakumar, Ramachandran (2023) "ALCAPA – A Rare Cause of Effort Angina in an Adult: A case report," Manipal Journal of Nursing and Health Sciences: Vol. 9: Iss. 2, .
DOI:
Available at: https://impressions.manipal.edu/mjnhs/vol9/iss2/10