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02 December 2019 : Case report  USA

Anomalous Left Coronary Artery From The Pulmonary Artery (ALCAPA) as a Cause of Heart Failure

Management of emergency care, Rare disease

Daniel Sadoma1AEF, Christopher Valente1AEF, Adam Sigal1AE*

DOI: 10.12659/AJCR.917655

Am J Case Rep 2019; 20:1797-1800

Abstract

BACKGROUND: Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare anomaly. When present it can result in failure to thrive and congestive heart failure.

CASE REPORT: We present the case of a 6-month old female whose presentation was one of failure to thrive. Point of care ultrasound and electrocardiogram (ECG) were used to diagnose heart failure with consideration of ALCAPA. These tools helped to expedite transfer to a tertiary care center for definitive therapy.

CONCLUSIONS: Although a rare anomaly, ALCAPA induced heart failure can be quickly identified on bedside ultrasound. Together with ECG findings, the Emergency Physician can expedite the diagnosis and proper disposition.

Keywords: Bland White Garland Syndrome, Pediatrics, Ultrasonography, Anomalous Left Coronary Artery, Cardiac Surgical Procedures, Electrocardiography, Failure to Thrive, Infant, Pulmonary Artery

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923