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Open Access A Case of Pediatric Heart Failure Caused by Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery: Case Report and Literature Review

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This article is Open Access under the terms of the Creative Commons CC BY-NC licence.

A female patient aged 3 months and 10 days was admitted to the cardiology department because of symptoms of heart failure. According to the echocardiography results, the patient received a diagnosis of primary endocardial fibroelastosis and was treated with γ-globulin, prednisone, digoxin, and diuretics. Coronary computed tomographic angiography and coronary angiography were performed as there was no improvement after 2 months of treatment. Finally, the patient received a diagnosis of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). ALCAPA is a rare congenital heart defect that can cause severe heart failure during infancy, and is easily misdiagnosed clinically (the misdiagnosis rate of ALCAPA is high in clinics). In this report, we show the process of misdiagnosis of the case and consult the relevant literature, hoping to improve the understanding and early diagnosis of ALCAPA.
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Keywords: heart failure; anomalous origin of a coronary artery; left coronary artery from the pulmonary artery; endocardial fibroelastosis

Affiliations: 1: Children’s Hospital of Chongqing Medical University,, Yuzhong District, Chongqing, China 2:

Appeared or available online: September 4, 2020

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