Anomalous Left Coronary Artery from the Pulmonary Artery – Board-Style Questions

What this deck covers

anomalous left coronary artery from the pulmonary artery in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. The timing
2. Crying with feeds
3. The ECG
4. A leaking valve
5. Not just cardiomyopathy
6. Colour Doppler
7. The operation
8. Too weak for surgery
9. After the repair
10. A late presentation
11. The mitral valve
12. Where the blood goes
13. Long-term checks
14. Myocarditis or not
15. A different anomaly
16. Referred on
17. A stunned heart
18. The outlook

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: The arterial duct closes at around ten weeks of age, Angina from myocardial ischaemia with exertion, Low voltage complexes in every single lead, A congenital cleft in the valve, Prove where both coronaries start, A patent arterial duct, Heart transplantation, Wait six months for recovery, Gradual recovery over months, The anomaly developed in adolescence, It always needs a valve replacement, Clot in the left coronary artery, Narrowing where the coronary was moved, A dilated left ventricle.

Clinical pearls from this deck

• ALCAPA declares itself as lung pressure falls.
• Sweating with every feed: think infant angina.
• Lateral Q waves in a baby: ALCAPA.
• Bright papillary muscle: ischaemia, think ALCAPA.
• Infant ‘cardiomyopathy’: prove the coronary origins.
• Jet into the pulmonary artery: coronary drainage.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all cardiology case decks · pediatric reference values.