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CASE REPORT
Year : 2017  |  Volume : 5  |  Issue : 2  |  Page : 82-84

Bileaflet mitral valve prolapse in an elderly patient with of anomalous left coronary artery from the pulmonary artery


1 Department of Cardiology, Faculty of Medicine, Cardiology Unit, Jalan Hospital, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
2 Medical Imaging Department, Faculty of Medicine, Medical Imaging Unit, Jalan Hospital, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
3 Department of Cardiology, Sunway Medical Centre, Sungai Buloh, Selangor, Malaysia
4 Department of Cardiology, Faculty of Medicine, Cardiology Unit, Jalan Hospital; Institute of Pathology, Laboratory and Forensic Medicine, Jalan Hospital, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia

Correspondence Address:
H A Zainal Abidin
Faculty of Medicine, Cardiology Unit, Jalan Hospital, Universiti Teknologi MARA, 47000, Sungai Buloh, Selangor
Malaysia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/heartindia.heartindia_6_17

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Anomalous origin of the left coronary artery from the pulmonary artery with bileaflet mitral valve prolapse is rare and seldom reported. We report a case of an elderly man who presented with typical angina symptom and a positive exercise stress test. Coronary angiogram failed to identify arterial course due to the presence of extensive collaterals. Images from cardiac computed tomography angiography provided the correct diagnosis and guided treatment. He was treated with medical therapy and remained asymptomatic on follow-up.


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