{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T11:54:20Z","timestamp":1771329260069,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Heart"],"accepted":{"date-parts":[[1999,8,5]]},"published-print":{"date-parts":[[2000,1,1]]},"abstract":"<jats:p>ALCAPA syndrome (anomalous origin of the left coronary artery from the pulmonary artery), which causes the left coronary artery to grow with an anomalous origin from the pulmonary artery, is a rare disease which may result in myocardial infarction, congestive heart failure, and sometimes death during the early infantile period. A 72 year old woman with ALCAPA syndrome is presented. The asymptomatic patient presented with a cardiac murmur which was discovered during a routine check up for a gynaecological intervention. Coronary cineangiography established the diagnosis. Although surgical correction is the usual treatment for such cases, medical treatment was preferred for this patient because she was asymptomatic without clinical signs of heart failure.<\/jats:p>","DOI":"10.1136\/heart.83.1.e2","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T06:37:59Z","timestamp":1027751879000},"page":"e2-e2","source":"Crossref","is-referenced-by-count":48,"title":["A 72 year old woman with ALCAPA"],"prefix":"10.1136","volume":"83","author":[{"given":"C","family":"Fierens","sequence":"first","affiliation":[{"name":"Department of Cardiology, University Hospital Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W","family":"Budts","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospital Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Denef","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospital Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Van de Werf","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospital Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2000,1,1]]},"reference":[{"key":"2025101715295198000_83.1.e2.1","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/S0002-8703(33)90140-4","article-title":"Congenital anomalies of the coronary arteries: report of an unusual case associated with cardiac hypertrophy.","volume":"8","author":"Bland","year":"1933","journal-title":"Am Heart J"},{"key":"2025101715295198000_83.1.e2.2","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1016\/S0022-5223(19)41448-7","article-title":"Anomalous origin of the left coronary artery from the pulmonary artery: case report and review of literature concerning teenagers and adults.","volume":"73","author":"Wilson","year":"1977","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025101715295198000_83.1.e2.3","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1111\/j.1540-8191.1994.tb00866.x","article-title":"Surgical correction of anomalous origin of the left coronary artery from the pulmonary artery.","volume":"9","author":"Cherian","year":"1994","journal-title":"J Card Surg"},{"key":"2025101715295198000_83.1.e2.4","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1111\/j.1540-8191.1995.tb00617.x","article-title":"Anomalous origin of the left coronary artery from the pulmonary artery in adults.","volume":"10","author":"Alexi-Meskishvili","year":"1995","journal-title":"J Card Surg"},{"key":"2025101715295198000_83.1.e2.5","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/S0735-1097(97)00175-7","article-title":"Anomalous origin of the left coronary artery from the pulmonary artery: recovery of left ventricular function after dual coronary repair.","volume":"30","author":"Schwartz","year":"1997","journal-title":"J Am Coll Cardiol"},{"key":"2025101715295198000_83.1.e2.6","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1016\/S0735-1097(97)00488-9","article-title":"Myocardial flow reserve in long-term survivors of repair of anomalous left coronary artery from pulmonary artery.","volume":"31","author":"Singh","year":"1998","journal-title":"J Am Coll Cardiol"},{"key":"2025101715295198000_83.1.e2.7","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1016\/0735-1097(94)90767-6","article-title":"ALCAPA syndrome: an example of chronic myocardial hypoperfusion.","volume":"23","author":"Shivalkar","year":"1994","journal-title":"J Am Coll Cardiol"},{"key":"2025101715295198000_83.1.e2.8","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/0002-8703(83)90207-7","article-title":"Anomalous origin of the left coronary artery from the pulmonary artery (Bland-Garland-White syndrome) in adult patients: long-term follow-up after surgery.","volume":"106","author":"Moodie","year":"1983","journal-title":"Am Heart J"},{"key":"2025101715295198000_83.1.e2.9","first-page":"748","article-title":"Functional assessment of ALCAPA syndrome by dobutamine stress thallium-201 SPECT and echocardiography.","volume":"37","author":"Elhendy","year":"1996","journal-title":"J Nucl Med"},{"key":"2025101715295198000_83.1.e2.10","first-page":"399","article-title":"Anomalous origin of the left coronary artery: a review of surgical management in 13 patients.","volume":"34","author":"Wollenek","year":"1993","journal-title":"J Cardiovasc Surg"}],"container-title":["Heart"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/heart.83.1.e2","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T22:29:59Z","timestamp":1760740199000},"score":1,"resource":{"primary":{"URL":"https:\/\/heart.bmj.com\/lookup\/doi\/10.1136\/heart.83.1.e2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,1,1]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2000,1,1]]},"published-print":{"date-parts":[[2000,1,1]]}},"alternative-id":["10.1136\/heart.83.1.e2"],"URL":"https:\/\/doi.org\/10.1136\/heart.83.1.e2","relation":{},"ISSN":["1355-6037","1468-201X"],"issn-type":[{"value":"1355-6037","type":"print"},{"value":"1468-201X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,1,1]]}}}