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Echocardiographic presentation of anomalous origin of the left coronary artery from the pulmonary artery*

Published online by Cambridge University Press:  16 December 2015

Norman H. Silverman
Norman H. Silverman*
Affiliation:
Department of Paediatrics (Cardiology), Stanford University and the University of California, San Francisco, California, United States of America
*
Correspondence to: N. H. Silverman, MD, DSc (Med), Professor Emeritus, Department of Pediatrics, Division of Pediatric Cardiology, Stanford University Medical Center, 750 Welch Road, Suite 305, Palo Alto, CA 94304, United States of America. Tel: +650 723 7913; Fax: +650 497 8422; E-mail: norm.silverman@stanford.edu
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Abstract

In the 1970s, diagnosing anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) was often uncertain using imaging alone; however, with the advances in high-frequency transducers, advanced image processing, and other ultrasound modalities such as Doppler colour flow imaging, tissue Doppler imaging, and speckle tracking to asses regional wall motion abnormalities, modern echocardiography now permits accurate diagnosis of ALCAPA with greater certainty. Although many consider ultrasound to be the only imaging test necessary if there is a question as to the diagnosis, other imaging modalities such as MRI, CT, and cardiac catheterisation with angiography remain valuable complementary tests, especially in older patients.

Keywords

Ultrasound diagnosisischaemic heart disease in childrenBland, White, and Garland syndrome
Type
Original Articles
Information
Cardiology in the Young , Volume 25 , Issue 8: HeartWeek 2015 , December 2015 , pp. 1512 - 1523
Copyright
© Cambridge University Press 2015 

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Footnotes

*

Presented at the Johns Hopkins All Children’s Heart Institute 15th Annual International Symposium on Congenital Heart Disease, Saint Petersburg, Florida, United States of America, from Friday, 6 February, 2015 to Monday, 9 February, 2015.

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