Lung Ultrasound in Congenital Cardiac Abnormality: ALCAPA

Springer Science and Business Media LLC - Tập 88 - Trang 161-164 - 2020
Cristina De Rose1, Piero Valentini1,2, Antonietta Curatola1, Rosa Morello1, Anna Maria Musolino3, Marco Piastra4,5, Danilo Buonsenso1,2
1Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
2Università Cattolica del Sacro Cuore, Rome, Italy
3Department of Pediatric Emergency, Bambino Gesù Children's Hospital IRCCS, Rome, Italy
4Pediatric ICU and Trauma Center, Fondazione Policlinico A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy
5Department of Anesthesiology and Intensive Care, Fondazione Policlinico A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

Tóm tắt

Anomalous origin of left coronary artery from the pulmonary artery (ALCAPA) is a life-threatening ischemic congenital cardiac disease, resulting in myocardial dysfunction and heart failure within the first year of life. The authors report the case of a 1-mo-old infant with a radiological diagnosis of pneumonia handled with point-of-care lung ultrasound (POCUS) due to the persistence of dyspnea, despite a week of antibiotic therapy. Lung ultrasound showed a non-univocal interpretation of the lesion and gave indication to the second level instrumental diagnostics that confirmed the presence of ALCAPA. There is no case of lung ultrasound aiding to the early diagnosis of ALCAPA and no indirect ecographic signs of ALCAPA that have been described in literature yet.

Tài liệu tham khảo

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