Volume 8, Issue 2 (4-2020)
J. Pediatr. Rev 2020, 8(2): 127-132 |
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1- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Pediatric Cardiology, Modarres Teaching Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3- Non-communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
4- Pediatric Infectious Diseases Research Center, Mazandaran University of Medical Sciences, Sari, Iran. , dr.navaifar@gmail.com
2- Department of Pediatric Cardiology, Modarres Teaching Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3- Non-communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
4- Pediatric Infectious Diseases Research Center, Mazandaran University of Medical Sciences, Sari, Iran. , dr.navaifar@gmail.com
Abstract: (4393 Views)
Introduction: Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare cardiovascular disease presented with an incidence of 1 per 300000 live births.
Case Presentation: In this article, we present four cases of ALCAPA in infancy. Two infants presented with respiratory distress and two with a heart murmur. Their coronary arteries were derived from their pulmonary arteries. Two of them died, one after surgical procedure and one before surgical intervention. Of remained cases, one of them had a good surgical outcome, and another was missed in the follow-up.
A brief review was done on case reports of ALCAPA in children. Eighteen articles were found, including 201 pediatric cases.
Conclusions: The vast majority of affected children will die within the first year of life if ALCAPA is not diagnosed and treated appropriately.
Case Presentation: In this article, we present four cases of ALCAPA in infancy. Two infants presented with respiratory distress and two with a heart murmur. Their coronary arteries were derived from their pulmonary arteries. Two of them died, one after surgical procedure and one before surgical intervention. Of remained cases, one of them had a good surgical outcome, and another was missed in the follow-up.
A brief review was done on case reports of ALCAPA in children. Eighteen articles were found, including 201 pediatric cases.
Conclusions: The vast majority of affected children will die within the first year of life if ALCAPA is not diagnosed and treated appropriately.
Keywords: Anomalous left coronary artery from the pulmonary artery (ALCAPA), Children, Cardiac, Bland-White-Garland syndrome, Coronary vessel anomalies, Cardiovascular diseases
Type of Study: Case Report and Review of Literature |
Subject:
Pediatric Cardiology
Received: 2019/06/16 | Accepted: 2019/09/7 | Published: 2020/04/1
Received: 2019/06/16 | Accepted: 2019/09/7 | Published: 2020/04/1
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