CASE REPORT
Cough as a symptom of respiratory infection or a rare cardiological pathology in an infant
1
Department of Paediatric Cardiology and General Paediatrics, Medical University of Warsaw, Warsaw, Poland
Submission date: 2023-02-17
Final revision date: 2023-03-06
Acceptance date: 2023-03-12
Publication date: 2023-09-01
Corresponding author
Beata Kucińska
Beata Kucińska, PhD, Department of Paediatric Cardiology and General Paediatrics, Medical University of Warsaw, Warsaw, Poland
Beata Kucińska, PhD, Department of Paediatric Cardiology and General Paediatrics, Medical University of Warsaw, Warsaw, Poland
Pediatr Pol 2023;98(3):248-253
KEYWORDS
TOPICS
ABSTRACT
Congenital coronary artery anomalies are rare and represent 0.24–0.46% of all congenital heart defects. The most common is an anomaly in which the left coronary artery arises from the pulmonary artery (ALCAPA), also known as a Bland-White-Garland syndrome. Nonspecific symptoms typically appear at 2–3 months of age. We present the case of a 10-week-old boy admitted to the hospital due to cough and dyspnea, with suspicion of a respiratory tract infection with no clinical improvement after standard therapy. The chest X-ray revealed cardiomegaly. The electrocardiogram showed signs of anterolateral infarction. Echocardiography revealed signs of dilatated cardiomyopathy and color Doppler was of great value in establishing a final diagnosis. After confirming the diagnosis of ALCAPA in computed tomography angiography, the patient was operated on, with a good outcome.
REFERENCES (16)
1.
Edwards KD, Tighe MP. How to use N-terminal pro-brain natriuretic peptide (NT-proBNP) in assessing disease severity in bronchiolitis. Arch Dis Child Educ Pract Ed 2020; 105: 282-288.
2.
Aleszewicz-Baranowska J, Komorowska W. Podstawy diagnostyki kardiologicznej u dzieci. Forum Med Rodz 2007; 1: 242-249.
3.
Zheng J, Ding W, Xiao Y, et al. Anomalous origin of the left coronary artery from the pulmonary artery in children: 15 years experience. Pediatr Cardiol 2011; 32: 24-31.
4.
Hoffman JI. Electrocardiogram of anomalous left coronary artery from the pulmonary artery in infants. Pediatr Cardiol 2013; 34: 489-491. .
5.
Amaral ME, Epifânio P, Noronha N, et al. Unusual cause of left ventricular dysfunction in a child. Rev Port Cardiol 2019; 38: 159.e1-159.e5.
6.
Rodriguez-Gonzalez M, Tirado A, Hosseinpour R, et al. Anomalous origin of the left coronary artery from the pulmonary artery: diagnoses and surgical results in 12 pediatric patients. Tex Heart Inst J 2015; 42: 350-356.
7.
Jiang GP, Wang HF, Gong FQ, et al. Diagnostic value of parasternal pulmonary artery short‑axis view for the anomalous origin of the left coronary artery from the pulmonary artery. J Cardiol 2014; 63: 444‑448.
8.
Lee AC, Foster E, Yeghiazarians Y. Anomalous origin of the left coronary artery from the pulmonary artery: a case series and brief review. Congenital Heart Dis 2017; 1: 111-115.
9.
Muzaffar T, Ahmad Ganie F, Gpoal Swamy S, et al. The surgical outcome of anomalous origin of the left coronary artery from the pulmonary artery. Int Cardiovasc Res J 2014; 8: 57-60.
10.
Wesselhoeft H, Fawcett JS, Johnson AL. Anomalous origin of the left coronary artery from the pulmonary trunk. Its clinical spectrum, pathology, and pathophysiology, based on a review of 140 cases with seven further cases. Circulation 1968; 38: 403-425.
11.
Han BK, Rigsby CK, Hlavacek A, et al. Computed tomography imaging in patients with congenital heart disease part 1: rationale and utility. An expert consensus document of the Society of Cardiovascular Computed Tomography. J Cardiovasc Comput Tomogr 2015; 9: 475-492.
12.
Roik D, Kucińska B, Roik M, et al. Image quality and radiation doses of volumetric 320-row computed tomography angiography with prospective electrocardiogram-gating in the assessment of coronary arteries in neonates and infants. Kardiol Pol 2022; 4: 567-574.
13.
Ma F, Zhou K, Shi X, et al. Misdiagnosed anomalous left coronary artery from the pulmonary artery as endocardial fibroelastosis in infancy. Medicine 2017; 96: e7199.
14.
Gao Y, Zhang J, Huang GY, et al. Surgical outcomes of anomalous origin of the left coronary artery from the pulmonary artery in children: an echocardiography follow-up. Chin Med J 2017; 130: 2333-2338.
15.
Dehaki MG, Al-Dairy A, Rezaei Y, et al. Mid-term outcomes of surgical repair for anomalous origin of the left coronary artery from the pulmonary artery: in infants, children and adults. Ann Pediatr Cardiol 2017; 10: 137-143.
16.
Zhang HL, Li SJ, Wang X, et al. Preoperative evaluation and midterm outcomes after the surgical correction of anomalous origin of the left coronary artery from the pulmonary artery in 50 infants and children. Chin Med J (Engl) 2017; 130: 2816-2822.
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
