eISSN: 2300 - 8660
ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
Bieżący numer Archiwum Artykuły zaakceptowane O czasopiśmie Rada naukowa Bazy indeksacyjne Kontakt Zasady publikacji prac Standardy etyczne i procedury
Panel Redakcyjny
Zgłaszanie i recenzowanie prac online
SCImago Journal & Country Rank
vol. 98
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Opis przypadku

Cough as a symptom of respiratory infection or a rare cardiological pathology in an infant

Anna Chanas
Klaudia Obsznajczyk
Beata Kucińska
Bożena Werner

Department of Paediatric Cardiology and General Paediatrics, Medical University of Warsaw, Warsaw, Poland
Pediatr Pol 2023; 98 (3): 248-253
Data publikacji online: 2023/09/01
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Metryki PlumX:

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.