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Acta Scientific Paediatrics

Case Report Volume 1 Issue 2

Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA) in a Four-Month-Old Infant with Persistent Bronchiolitis

Gkampeta A1, Kyriaki Papadopoulou-Legbelou2*, Goulordava A2, Keivanidou A1, Thomaidis K3 and Giannopoulos A1

12nd Pediatric Department, Aristotle University of Thessaloniki, AHEPA General Hospital, Greece
24th Department of Pediatrics, General Hospital "Papageorgiou", Aristotle University of Thessaloniki, Thessaloniki, Greece
3Cardiology department, General Hospital of Thessaloniki “George Papanikolaou”, Thessaloniki. Greece

*Corresponding Author: Kyriaki Papadopoulou-Legbelou, Assistant Professor of Pediatrics-Pediatric Cardiology, 4th Department of Pediatrics, General Hospital "Papageorgiou", Aristotle University of Thessaloniki, Thessaloniki, Greece.

Received: August 06, 2018; Published: August 23, 2018

Citation: Kyriaki Papadopoulou-Legbelou., et al. “Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA) in a Four-Month-Old Infant with Persistent Bronchiolitis ”. Acta Scientific Pediatrics 1.2 (2018).


p>  Anomalous origin of the left coronary artery from the pulmonary trunk is a very rare congenital heart disease. Without surgical repair, most of these children die during the first months of life. This case report describes a 4-month-old male infant admitted to the hospital as persistent bronchiolitis. Chest x-ray revealed increased cardiothoracic ratio, electrocardiographic abnormalities were indicative for myocardial ischemia and echocardiography along with Magnetic Resonance Imaging unmasked the anomalous origin of the left coronary artery from the pulmonary trunk. As symptoms of congestive heart failure are not specific for this rare anomaly, the origins and course of both coronary arteries should be carefully evaluated in every infant presenting with echocardiographic findings of dilated cardiomyopathy

Keywords: ALCAPA; Children; Myocardial Infarction


Copyright: © 2018 Kyriaki Papadopoulou-Legbelou., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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