[Skip to Content]
[Skip to Content Landing]

Coronary Angiography in a Man With Angina, Right Bundle Branch Block, and Global Hypokinesis

A 32-year-old man underwent coronary angiography for evaluation of angina, dyspnea, a right bundle branch block (RBBB) on electrocardiography, and global hypokinesis on echocardiography. This video demonstrates opacification of the left coronary system with injection of contrast into the right coronary artery, consistent with an anomalous left coronary artery from the pulmonary artery (ALCAPA). ALCAPA is an exceedingly rare and potentially dangerous congenital coronary anomaly, with an estimated mean life expectancy of 35 years. Most patients are misdiagnosed for years with early-onset ischemic heart disease or myocarditis. Treatment is surgical correction. Click the Related Article link for a complete case description.

JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 CME Credit™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC

With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
Close
With a personal account, you can:
  • Track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
jn-learning_Modal_SaveSearch_NoAccess_Purchase
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close