[HSF] ALCAPA - Angio

[Lalit Kapoor]

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.

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?

Attached photos are:

3) RCA Injection with filling of the dilated Right coronary


2) Retrograde filling of the Left Anterior descending artery

1) Retrograde filling of the Pulmonary artery

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