|作者：||Angélica Luciana Nau, Alan Fernandes Strapasson, Guilherme da Silva Martins, Cristiane Nogueira Binotto|
1Resident Physician in Pediatrics.
3PhD in Child and Adolescent Health; Pediatric Cardiologist andEchocardiographer.
|刊名：||Residência Pediátrica, 2019, Vol.9 (1), pp.62-65|
|来源数据库：||Brazilian Society of Pediatrics|
|关键词：||Heart Defects; Congenital; Infant; Coronary Disease;|
|原始语种摘要：||Abstract Introduction: Anomalous origin of the left coronary artery (ALCAPA) is a rare cardiac defect,which causes myocardial ischemia and cardiomyopathy. Case report: male, 7 months, failure to thrive, pallor, sweating, irritability, and systolicmurmur in the mitral area. Echocardiogram revealed anomalous origin of the leftcoronary artery from the pulmonary artery, and cardiac catheterizationcorroborated the diagnosis. The child was submitted to surgical correction, withgood postoperative evolution. Discussion: ALCAPA has difficult diagnosis. It usually manifests before 2 months of age, butthe symptoms can be misinterpreted and the disease underdiagnosed. Theelectrocardiogram may show changes in the ST segment or Q wave, suggestive ofacute myocardial ischemia. Diagnosis can be made by... two-dimensionalechocardiogram, with direct visualization of the abnormal origin of the leftcoronary artery, associated with the hemodynamic study. Treatment is surgical,with redeployment of the coronary artery in the aorta, and in general, theevolution is satisfactory.|