Correctable Cause of Dilated Cardiomyopathy in an Infant with Heart Failure: ALCAPA Syndrome

Osman Güvenç; Murat Saygı; Erkut Öztürk; Alper Güzeltaş

doi:10.4274/jcp.03371

Süt Çocuğunda Kalp Yetersizliği ile Başvuran Dilate Kardiyomiyopatinin Düzeltilebilir Bir Nedeni: ALCAPA Sendromu

Year 2017, Volume: 15 Issue: 1, 47 - 50, 01.04.2017

Osman Güvenç Murat Saygı Erkut Öztürk Alper Güzeltaş

https://doi.org/10.4274/jcp.03371

Abstract

Sol koroner arterin pulmoner arterden çıkış anomalisi olarak tanımlanan ALCAPA sendromu, çocuklarda nadir görülen bir konjenital kalp hastalığıdır. Tedavi edilmediği zaman konjestif kalp yetmezliği, dilate kardiyomiyopati DKM , iskemik ve aritmik komplikasyonlarla hasta kaybedilebilir. Tanı ekokardiyografi bulgularıyla koyulur, tanıdan şüphelenilen olgularda bilgisayarlı tomografi, manyetik rezonans görüntüleme ve kalp kateterizasyonu gibi ileri tetkiklerden faydalanılabilir. Çocukluk çağında DKM tanısı alan hastalarda etiyolojide, cerrahi olarak düzeltme şansı olan ALCAPA sendromu mutlaka düşünülmelidir. Bu yazıda, merkezimize DKM tanısıyla sevk edilen, ekokardiyografi ile ALCAPA sendromu tanısı konulup, başarılı cerrahi tamir yapılan hasta olgu sunumu yapıldı ve son literatür gözden geçirildi

Keywords

ALCAPA sendromu, dilate kardiyomiyopati, ekokardiyografi

References

1. Khatami AD, Mavroudis C, Backer CL. Congenital and acquired coronary artery anomalies in newborns, infants, children and young adults. In: Da Cruz EM, Ivy D, Jaggers J (eds). Pediatric and congenital cardiology, cardiac surgery and intensive care. Springer-Verlag London; 2014. p. 2019-41.
2. Park MK. Miscellaneous congenital cardiac conditions. In: Park MK (ed). Park’s Pediatric Cardiology for Practitioners. Philadelphia: Elsevier Saunders; 2014. p. 290-306.
3. Babaoglu K, Binnetoglu K, Altun G, Cetin G, Saltik L. Rare cause of dilated cardiomyopathy in the neonatal period: ALCAPA syndrome. Turk Pediatri Ars 2011;46:256-8.
4. Uysal F, Bostan OM, Semizel E, Signak IS, Asut E, Cil E. Congenital Anomalies of Coronary Arteries in Children: The Evaluation of 22 Patients. Pediatr Cardiol 2014;35:778-84.
5. Ceylan O, Orun UA, Koc M, Ozgur S, Dogan V, Karademir S, et al. Abnormal origin of left coronary artery from pulmonary artery: Four cases. Turkish Journal of Thoracic and Cardiovascular Surgery 2013;21:122-6.
6. Dilawar M, Ahmad Z. Anomalous left coronary artery from pulmonary artery: Case series and brief review. Open Journal of Pediatrics 2012;2:77-81.
7. Akalin F, Topcu B. Origin of both coronary arteries from pulmonary artery: A case report. Journal of Pediatric Health and Diseases 2009;52:81-4.
8. Kayiran PG, Kayiran SM, Gumus T, Akcevin A, Dindar A, Gurakan B. Anomalous origin of left coronary artery from pulmonary artery (ALCAPA) in an infant with bronchiolitis and dilated cardiomyopathy. Journal of Current Pediatrics 2013;11:142-5.
9. Molaei A, Hemmati BR, Khosroshahi H, Malaki M, Zakeri R. Misdiagnosis of Bland-White-Garland Syndrome: Report of Two Cases with Different Presentations. J Cardiovasc Thorac Res 2014;6:65-7.
10. Jonas RA. Anomalies of the coronary arteries. In: Jonas RA (ed). Comprehensive surgical management of congenital heart disease. CRC Press Second Edition; 2014. p. 663-79.
11. Sarioglu T, Yalcinbas YK, Erek E, Arnaz A, Turkekul Y, Avsar MK et al. Abnormal origin of left coronary artery from pulmonary artery: Left ventricular function and clinical results after dual coronary repair. Turkish Journal of Thoracic and Cardiovascular Surgery 2013;21:1-6.
12. Turan T, Sarioglu T. Congenital coronary artery anomalies. In: Pac M, Akcevin A, Aka SA, Buket S, Sarioglu T (eds). Cardiovascular Surgery. İstanbul: MN Medikal Nobel; 2013. p.2084-92.
13. Canale LS, Monteiro AJ, Rangel I, Wetzel E, Pinto DF, Barbosa RC, et al. Surgical treatment of anomalous coronary artery arising from the pulmonary artery. Interact Cardiovasc Thorac Surg 2009;8:67-9.
14. Ramírez S, Curi-Curi PJ, Calderón-Colmenero J, García J, Britton C, Erdmenger J, et al. Outcomes of coronary reimplantation for correction of anomalous origin of left coronary artery from pulmonary artery. Rev Esp Cardiol 2011;64:681-7.
15. Zheng JY, Han L, Ding WH, Jin M, Zhang GZ, Xiao YY, et al. Clinical features and long-term prognosis of patients with anomalous origin of the left coronary artery from the pulmonary artery. Chin Med J (Engl) 2010;123:2888-94

Correctable Cause of Dilated Cardiomyopathy in an Infant with Heart Failure: ALCAPA Syndrome

Year 2017, Volume: 15 Issue: 1, 47 - 50, 01.04.2017

Osman Güvenç Murat Saygı Erkut Öztürk Alper Güzeltaş

https://doi.org/10.4274/jcp.03371

Abstract

Anomalous origin of the left coronary artery arising from pulmonary artery ALCAPA syndrome is a rare congenital heart disease seen in children. If untreated, it may lead to congestive heart failure, dilated cardiomyopathy DCM , ischemic and arrhythmic complications may lead to patient’s death. ALCAPA is diagnosed with echocardiography; in the patients of suspected diagnosis, computerized tomography, magnetic resonance imaging and cardiac catheterization are used for further testing. Surgically correctable ALCAPA syndrome must be considered as etiology of DCM in children. In this report, we presented the case of an infant that was referred to our center with the diagnosis of DCM, who was echocardiographically diagnosed with ALCAPA syndrome and successfully treated with surgery, as well as a review of recent literature

Keywords

ALCAPA syndrome, dilated cardiomyopathy, echocardiography

References

1. Khatami AD, Mavroudis C, Backer CL. Congenital and acquired coronary artery anomalies in newborns, infants, children and young adults. In: Da Cruz EM, Ivy D, Jaggers J (eds). Pediatric and congenital cardiology, cardiac surgery and intensive care. Springer-Verlag London; 2014. p. 2019-41.
2. Park MK. Miscellaneous congenital cardiac conditions. In: Park MK (ed). Park’s Pediatric Cardiology for Practitioners. Philadelphia: Elsevier Saunders; 2014. p. 290-306.
3. Babaoglu K, Binnetoglu K, Altun G, Cetin G, Saltik L. Rare cause of dilated cardiomyopathy in the neonatal period: ALCAPA syndrome. Turk Pediatri Ars 2011;46:256-8.
4. Uysal F, Bostan OM, Semizel E, Signak IS, Asut E, Cil E. Congenital Anomalies of Coronary Arteries in Children: The Evaluation of 22 Patients. Pediatr Cardiol 2014;35:778-84.
5. Ceylan O, Orun UA, Koc M, Ozgur S, Dogan V, Karademir S, et al. Abnormal origin of left coronary artery from pulmonary artery: Four cases. Turkish Journal of Thoracic and Cardiovascular Surgery 2013;21:122-6.
6. Dilawar M, Ahmad Z. Anomalous left coronary artery from pulmonary artery: Case series and brief review. Open Journal of Pediatrics 2012;2:77-81.
7. Akalin F, Topcu B. Origin of both coronary arteries from pulmonary artery: A case report. Journal of Pediatric Health and Diseases 2009;52:81-4.
8. Kayiran PG, Kayiran SM, Gumus T, Akcevin A, Dindar A, Gurakan B. Anomalous origin of left coronary artery from pulmonary artery (ALCAPA) in an infant with bronchiolitis and dilated cardiomyopathy. Journal of Current Pediatrics 2013;11:142-5.
9. Molaei A, Hemmati BR, Khosroshahi H, Malaki M, Zakeri R. Misdiagnosis of Bland-White-Garland Syndrome: Report of Two Cases with Different Presentations. J Cardiovasc Thorac Res 2014;6:65-7.
10. Jonas RA. Anomalies of the coronary arteries. In: Jonas RA (ed). Comprehensive surgical management of congenital heart disease. CRC Press Second Edition; 2014. p. 663-79.
11. Sarioglu T, Yalcinbas YK, Erek E, Arnaz A, Turkekul Y, Avsar MK et al. Abnormal origin of left coronary artery from pulmonary artery: Left ventricular function and clinical results after dual coronary repair. Turkish Journal of Thoracic and Cardiovascular Surgery 2013;21:1-6.
12. Turan T, Sarioglu T. Congenital coronary artery anomalies. In: Pac M, Akcevin A, Aka SA, Buket S, Sarioglu T (eds). Cardiovascular Surgery. İstanbul: MN Medikal Nobel; 2013. p.2084-92.
13. Canale LS, Monteiro AJ, Rangel I, Wetzel E, Pinto DF, Barbosa RC, et al. Surgical treatment of anomalous coronary artery arising from the pulmonary artery. Interact Cardiovasc Thorac Surg 2009;8:67-9.
14. Ramírez S, Curi-Curi PJ, Calderón-Colmenero J, García J, Britton C, Erdmenger J, et al. Outcomes of coronary reimplantation for correction of anomalous origin of left coronary artery from pulmonary artery. Rev Esp Cardiol 2011;64:681-7.
15. Zheng JY, Han L, Ding WH, Jin M, Zhang GZ, Xiao YY, et al. Clinical features and long-term prognosis of patients with anomalous origin of the left coronary artery from the pulmonary artery. Chin Med J (Engl) 2010;123:2888-94

There are 15 citations in total.

Details

Primary Language	English
Journal Section	Case Report
Authors	Osman Güvenç Murat Saygı This is me Erkut Öztürk This is me Alper Güzeltaş This is me
Publication Date	April 1, 2017
Published in Issue	Year 2017 Volume: 15 Issue: 1

Cite

APA	Güvenç, O., Saygı, M., Öztürk, E., Güzeltaş, A. (2017). Correctable Cause of Dilated Cardiomyopathy in an Infant with Heart Failure: ALCAPA Syndrome. Güncel Pediatri, 15(1), 47-50. https://doi.org/10.4274/jcp.03371
AMA	Güvenç O, Saygı M, Öztürk E, Güzeltaş A. Correctable Cause of Dilated Cardiomyopathy in an Infant with Heart Failure: ALCAPA Syndrome. Güncel Pediatri. April 2017;15(1):47-50. doi:10.4274/jcp.03371
Chicago	Güvenç, Osman, Murat Saygı, Erkut Öztürk, and Alper Güzeltaş. “Correctable Cause of Dilated Cardiomyopathy in an Infant With Heart Failure: ALCAPA Syndrome”. Güncel Pediatri 15, no. 1 (April 2017): 47-50. https://doi.org/10.4274/jcp.03371.
EndNote	Güvenç O, Saygı M, Öztürk E, Güzeltaş A (April 1, 2017) Correctable Cause of Dilated Cardiomyopathy in an Infant with Heart Failure: ALCAPA Syndrome. Güncel Pediatri 15 1 47–50.
IEEE	O. Güvenç, M. Saygı, E. Öztürk, and A. Güzeltaş, “Correctable Cause of Dilated Cardiomyopathy in an Infant with Heart Failure: ALCAPA Syndrome”, Güncel Pediatri, vol. 15, no. 1, pp. 47–50, 2017, doi: 10.4274/jcp.03371.
ISNAD	Güvenç, Osman et al. “Correctable Cause of Dilated Cardiomyopathy in an Infant With Heart Failure: ALCAPA Syndrome”. Güncel Pediatri 15/1 (April 2017), 47-50. https://doi.org/10.4274/jcp.03371.
JAMA	Güvenç O, Saygı M, Öztürk E, Güzeltaş A. Correctable Cause of Dilated Cardiomyopathy in an Infant with Heart Failure: ALCAPA Syndrome. Güncel Pediatri. 2017;15:47–50.
MLA	Güvenç, Osman et al. “Correctable Cause of Dilated Cardiomyopathy in an Infant With Heart Failure: ALCAPA Syndrome”. Güncel Pediatri, vol. 15, no. 1, 2017, pp. 47-50, doi:10.4274/jcp.03371.
Vancouver	Güvenç O, Saygı M, Öztürk E, Güzeltaş A. Correctable Cause of Dilated Cardiomyopathy in an Infant with Heart Failure: ALCAPA Syndrome. Güncel Pediatri. 2017;15(1):47-50.