[HSF] ALCAPA - Angio

[Jon Golden]

 From Lalit Kapoor


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> Recently a 26 year old lady came to our Surgery clinic with a  
> history of chest pain on exertion for the past 3 years. She also had  
> some palpitations and shortness of breath.
>
> Clinically there was a continuous murmur on the Upper Left  
> parasternal area.
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> ECG showed some Anterolateral changes suggestive of ischaemia.
>
> Here are three snapshots from her Angiogram.
>
> Would members of this forum prefer a direct repair (2 coronary  
> system repair) or would instead go for ligation of the ALCAPA with a  
> LIMA to the LAD?
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> RCA Injection with filling of the dilated Right coronary
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> Retrograde filling of the Left Anterior descending artery
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> Retrograde filling of the Pulmonary artery