Salim Ahmad, Irfan Saleem, Merna Attiya.
Transthoracic 3 dimensional real time echocardiography for the diagnosis of (ALCAPA) anomalous left coronary artery from pulmonary artery.
Pak Heart J Jan ;52(2):185-7.

Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare but clinically significant form of congenital heart disease, usually causing myocardial dysfunction and heart failure in infancy. Approximately 90% of patients die within first year of life if left untreated. Cardiac surgery (reimplantation of left coronary artery to aorta) is performed immediately after diagnosis. Usually the diagnosis is suspected on transthoracic echocardiography (TTE) and then confirmed by coronary angiogram. We are describing the use of real time 3 dimensional echocardiography (RT3DE) for confirmation of the diagnosis of ALCAPA in our 2 months old patient. The RT3DE images were reviewed and appreciated by the cardiac surgeon. Patient had successful ALCAPA repair without being subjected to invasive procedure ofcoronary angiography.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com