Micronutrient deficiency status among women of desert areas of western Rajasthan, India
Singh, M.B.; Fotedar, R.; Lakshminarayana, J.
Public Health Nutrition 12(5): 624-629
2008
ISSN/ISBN: 1368-9800 PMID: 18503719 DOI: 10.1017/s1368980008002395Document Number: 377432
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly. The usual clinical course is severe left sided heart failure and mitral valve insufficiency presenting during the first months of life. However, in some cases collateral blood supply from the right coronary artery is sufficient and symptoms may be subtle or even absent. Arrhythmias or sudden cardiac death in adult life may be the first clinical presentation in patients with ALCAPA. We report a case, where a 39-year old woman presented with ventricular fibrillation during phycial exertion. Coronary angiography and CT-angiography revealed an anomalous origin of the left coronary artery, and an aortic reimplantation of the left coronary artery was performed followed by ICD implantation. A review of the literature on ALCAPA is presented along with CT images before and after surgery.