Abstract
A 5-day-old child was referred to the department of cardiology for bradycardia without any other cardiac symptoms. ECG was normal. Cardiac echography demonstrated a reverse flow inside the interventricular branch of the left coronary artery suggesting ALCAPA. ECG-gated multidetector CT angiography, with oblique axial view (a) and 3-D volume-rendered images (b), confirmed the diagnosis of ALCAPA (DLP=99 mGy-cm) (Fig. 1). Reimplantation of the left coronary artery into the aorta was performed promptly and with success. ALCAPA is a rare congenital anomaly but is one of the most common causes of myocardial ischemia in children [1]. Usually, symptoms occur around 8 weeks of life. If untreated, most patients will die within the first year of life. Cardiac echography alone permits the diagnosis of ALCAPA. Nevertheless, ECG-gated multidetector CT angiography can be used instead of conventional angiography to clarify the anatomy or confirm an unclear diagnosis [2]. In neonates, early surgical correction allows improvement of ventricular function.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
