A rare cause of respiratory distress in the emergency

Pediatric emergency care · May 2015

Case Reports

A rare cause of respiratory distress in the emergency department: anomalous origin of the left coronary artery from the pulmonary artery.

Anomalous origin of the left coronary artery from the pulmonary artery is the most common cause of myocardial ischemia and infarction in children and infants. Most of the affected individuals become symptomatic, owing to dilated cardiomyopathy during the infant period. Because of congestive heart failure, pulmonary congestion and respiratory distress can be seen. Herein, we report a 35-day-old infant with anomalous origin of the left coronary artery from the pulmonary artery who presented with respiratory distress and dilated cardiomyopathy to draw attention to this rare surgically treatable anomaly.

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- Rahmi Özdemir, Cem Karadeniz, Savaş Demirpençe, Önder Doksöz, Ylmaz Yozgat, and Timur Meşe.
- From the Department of Pediatric Cardiology, İzmir Dr Behçet Uz Children's Hospital, İzmir, Turkey.
- Pediatr Emerg Care. 2015 May 1;31(5):357-9.
AbstractAnomalous origin of the left coronary artery from the pulmonary artery is the most common cause of myocardial ischemia and infarction in children and infants. Most of the affected individuals become symptomatic, owing to dilated cardiomyopathy during the infant period. Because of congestive heart failure, pulmonary congestion and respiratory distress can be seen. Herein, we report a 35-day-old infant with anomalous origin of the left coronary artery from the pulmonary artery who presented with respiratory distress and dilated cardiomyopathy to draw attention to this rare surgically treatable anomaly.

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A rare cause of respiratory distress in the emergency department: anomalous origin of the left coronary artery from the pulmonary artery.

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