Anomalous Origin of Coronary Artery from Pulmonary Artery
Created by: Dr. Yong Hao Yeo
Reviewed by: Drs. Sukrit Banthia, Claire Cambron, and Rawan Amir
ALCAPA and ARCAPA are rare but life-threatening coronary anomalies and the second leading cause of sudden cardiac death in young athletes.
- ALCAPA: Presents in infancy or adulthood; retrograde LCA flow can lead to ischemia or cardiomyopathy.
- ARCAPA: Often asymptomatic but can cause coronary steal later in life.
đ ď¸ Surgical repair is essentialâat diagnosis for ALCAPA and if symptomatic for ARCAPA.
đââď¸ Activity restriction is advised before repair and based on risk after.
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