en POLSKI
eISSN: 2300-8660
ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Contact Instructions for authors Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
Search
Editorial Policies
Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

3/2023
vol. 98
 
Share:
Send email
Share:
abstract:
Case report

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

Anna Chanas
1
,
Klaudia Obsznajczyk
1
,
Beata Kucińska
1
,
Bożena Werner
1

  1. Department of Paediatric Cardiology and General Paediatrics, Medical University of Warsaw, Warsaw, Poland
Pediatr Pol 2023; 98 (3): 248-253
DOI: https://doi.org/10.5114/polp.2023.130846
Online publish date: 2023/09/01
View full text Get citation
 
PlumX metrics:
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.
keywords:

cough, dyspnea, cardiomegaly, coronary artery