Anomalous origin of the left coronary artery from the pulmonary artery: Acase report
作者: Angélica Luciana NauAlan Fernandes StrapassonGuilherme da Silva MartinsCristiane Nogueira Binotto
作者单位: 1Resident Physician in Pediatrics.
2Medical Student.
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
DOI: 10.25060/residpediatr-2019.v9n1-09
关键词: Heart DefectsCongenitalInfantCoronary 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...
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  • coronary 冠状的
  • artery 动脉
  • origin 起原
  • sweating 渗出
  • mitral 二尖瓣的
  • pulmonary 肺的
  • postoperative 手术后的
  • myocardial 心肌的
  • cardiomyopathy 心肌病
  • Infant 伊洛魁夜间战斗机和夜间跟踪系统