Anomalous Origin of Left Coronary Artery from Pulmonary Artery (ALCAPA). IPCCC Code: 09.41.03

Images & Codes

Archiving Working Group

International Society for Nomenclature of

Paediatric and Congenital Heart Disease

ipccc-awg.net

Close Window

IPCCC: 09.41.03, Q1.45.85
	AEPC Derived Term:	Anomalous origin of left coronary artery from pulmonary artery (ALCAPA) - coronary arterial origin from left pulmonary artery (09.41.03, Q1.45.85) or Anomalous origin of coronary artery from left pulmonary artery (09.46.05)

	EACTS-STS Derived Term:	Coronary anomaly, APOC (Anomalous pulmonary origin of coronary), ALCAPA (Anomalous left main coronary artery from PA), Origin from left pulmonary artery (09.41.03, Q1.45.85)

	ICD 10 Term:	Malformation of coronary vessels (Q24.5)

Definition: pending

Common Synonyms: pending

	Modality: Anatomic specimen Orientation: Left anterior/superior view Description: This image illustrates the anomalous pulmonary origin of the left coronary artery (LCA) from the proximal segment of the left pulmonary artery (LPA) as it leaves the pulmonary trunk (PT). The long 'trunk' of the left coronary artery gives rise to the circumflex (Cx) and anterior interventricular (AIVA = LAD) arteries. The left coronary artery a short intramyocardial course in the atrial myocardium close to the origin of the left atrial appendage (LAA) and the anterior interventricular artery had a long myocardial bridge as well. Although not illustrated, this patient also had a right-sided aortic arch (A) with mirror-image origin of the arch arteries and also a lung sequestration (right lower lobe) with separate arterial supply and venous drainage. Contributor: Vera D. Aiello, MD Institution: Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil Image Label: A094103-154a Image Source: Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil Image Certification: pending AWG Rating: pending		Modality: Anatomic specimen Orientation: View of the opened great arteries Description: This image illustrates the anomalous pulmonary origin of the left coronary artery from the proximal segment of the left pulmonary artery (LPA) as viewed from inside the left pulmonary artery. The left coronary orifice is labeled APOC. (RPA - right pulmonary artery). Contributor: Vera D. Aiello, MD Institution: Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil Image Label: A094103-154b Image Source: Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil Image Certification: pending AWG Rating: pending

	Modality: Anatomic specimen Orientation: Cross sectional view of the ventricles from the apex Description: This image of the ventricles viewed in cross section from the apex, shows the ischemic myocardium and marked by the asterisks. It involves mainly the supero-posterior free wall of the left ventricle . (LV - left ventricle) Contributor: Vera D. Aiello, MD Institution: Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil Image Label: A094103-154c Image Source: Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil Image Certification: pending AWG Rating: pending

AWG Page Certification: pending