{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T05:02:45Z","timestamp":1767157365177,"version":"3.48.0"},"reference-count":0,"publisher":"Instituto Nacional Cardovascular - Carlos Alberto Peschiera Carrillo","issue":"4","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Peru Cardiol Cir Cardiovasc"],"abstract":"<jats:p>El origen an\u00f3malo de la arteria coronaria izquierda desde la arteria pulmonar (ALCAPA) es una cardiopat\u00eda cong\u00e9nita infrecuente, con una incidencia estimada de 1 por cada 300 000 nacidos vivos y una mortalidad que alcanza el 90% en el primer a\u00f1o si no se corrige quir\u00fargicamente. Presentamos el caso de un ni\u00f1o de tres a\u00f1os con disnea progresiva, taquicardia parox\u00edstica y escasa ganancia ponderal, inicialmente diagnosticado con dilataci\u00f3n severa del ventr\u00edculo izquierdo e insuficiencia mitral severa. La ecocardiograf\u00eda transtor\u00e1cica y la angiotomograf\u00eda card\u00edaca confirmaron el diagn\u00f3stico de ALCAPA. Se realiz\u00f3 cirug\u00eda de reimplante de la arteria coronaria izquierda y plastia mitral, siendo dado de alta sin complicaciones. En el seguimiento a dos a\u00f1os, el paciente permanece asintom\u00e1tico, con funci\u00f3n ventricular preservada e insuficiencia mitral leve. Este caso subraya la relevancia del diagn\u00f3stico por im\u00e1genes y del tratamiento quir\u00fargico en esta entidad potencialmente letal.<\/jats:p>","DOI":"10.47487\/apcyccv.v6i4.535","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T05:00:17Z","timestamp":1766120417000},"page":"258-263","source":"Crossref","is-referenced-by-count":0,"title":["Dilataci\u00f3n severa del ventr\u00edculo izquierdo e insuficiencia mitral secundaria a ALCAPA en la infancia. Reporte de caso","Severe left ventricular dilatation and mitral regurgitation secondary to ALCAPA in childhood: a case report"],"prefix":"10.47487","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6575-9098","authenticated-orcid":false,"given":"Christie","family":"Villasante-Villalta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5084-6547","authenticated-orcid":false,"given":"Diego","family":"Davila-Flores","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5426-830X","authenticated-orcid":false,"given":"Renee","family":"Montesinos-Segura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6565-8917","authenticated-orcid":false,"given":"Zoila","family":"Rodriguez-Urtega","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6240-8740","authenticated-orcid":false,"given":"Judith","family":"Miranda-Rojas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9474-0916","authenticated-orcid":false,"given":"Jos\u00e9","family":"Cornejo-Acevedo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0033-979X","authenticated-orcid":false,"given":"Fernando","family":"Vargas Pel\u00e1ez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7452-5197","authenticated-orcid":false,"given":"Fernando","family":"Chavarri-Velarde","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"26947","published-online":{"date-parts":[[2025,12,18]]},"container-title":["Archivos Peruanos de Cardiolog\u00eda y Cirug\u00eda Cardiovascular"],"original-title":[],"link":[{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/535\/717","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/535\/707","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T05:00:47Z","timestamp":1767157247000},"score":1,"resource":{"primary":{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/view\/535"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,18]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,12,29]]}},"URL":"https:\/\/doi.org\/10.47487\/apcyccv.v6i4.535","relation":{},"ISSN":["2708-7212"],"issn-type":[{"type":"electronic","value":"2708-7212"}],"subject":[],"published":{"date-parts":[[2025,12,18]]}}}