Evidence map›Paper›PMID 37348924›Full record

ArticleBMJ case reports2023

Recurrent strokes in the setting of anomalous left coronary artery from the pulmonary artery.

Ayesha Vos, Kevin Rajakariar, Pakeeran Siriratnam, Melanie Freeman

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ayesha VosDepartment of Neurology, Eastern Health, Box Hill, Victoria, Australia.
Kevin RajakariarDepartment of Cardiology, Eastern Health, Box Hill, Victoria, Australia.ORCID http://orcid.org/0000-0002-3886-8214
Pakeeran SiriratnamFaculty of Medicine, Nursing and Health Sciences, Monash University Eastern Health Clinical School, Box Hill, Victoria, Australia p.siriratnam@alfred.org.au.ORCID http://orcid.org/0000-0003-4751-2102
Melanie FreemanDepartment of Cardiology, Eastern Health, Box Hill, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A young woman presented with a syncopal episode. As part of the work-up for her presentation, an MRI of the brain was performed which showed a small acute stroke. She subsequently had a further embolic-appearing stroke 9 months later. The initial investigations for the work-up of her strokes did not reveal any major abnormalities, including an unremarkable ECG and transthoracic echocardiogram (TTE). A transoesophageal echocardiogram (TOE) showed aneurysmal apical and mid-anteroseptal akinesis with mildly reduced left ventricular ejection fraction. Anomalous left coronary artery from the pulmonary artery (ALCAPA) was confirmed on coronary angiogram. Although ALCAPA presenting in adulthood is rare, our case highlights the value of TOE over TTE in the work-up of cryptogenic strokes, particularly in young patients with embolic strokes of undetermined source.

Indexed as

Anomalous Left Coronary ArteryBland White Garland SyndromeEmbolic StrokeIschemic StrokeFemaleHumansPulmonary ArteryStroke VolumeVentricular Function, LeftNeurologyStroke

Identifiers

PMID37348924
PMCPMC10314464

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.