Lung Ultrasound in Congenital Cardiac Abnormality: ALCAPA

Abstract

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.

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References

  1. 1.

    Patel SG, Frommelt MA, Frommelt PC, Kutty S, Cramer JW. Echocardiographic diagnosis, surgical treatment, and outcomes of anomalous left coronary artery from the pulmonary artery. J Am Soc Echocardiogr. 2017;30:896–903.

    Article  Google Scholar 

  2. 2.

    Boutsikou M, Shore D, Li W, et al. Anomalous left coronary artery from the pulmonary artery (ALCAPA) diagnosed in adulthood: varied clinical presentation, therapeutic approach and outcome. Int J Cardiol. 2018;261:49–53.

    CAS  Article  Google Scholar 

  3. 3.

    Ali I, Waseem M, Augustine G, Kulkarni A. An infant with respiratory distress. Pediatr Emerg Care. 2008;24:624–6.

    Article  Google Scholar 

  4. 4.

    Atik E. Case 5/2012: six-year-old child with anomalous origin of left coronary artery and mitral regurgitation. Arq Bras Cardiol. 2012;99:e105–7.

    Article  Google Scholar 

  5. 5.

    Radzina M, Biederer J. Ultrasonography of the lung. Rofo. 2019;191:909–23.

    Article  Google Scholar 

  6. 6.

    Wu HD, Yang PC, Lee LN. Differentiation of lung abscess and empyema by ultrasonography. J Formos Med Assoc. 1991;90:749–54.

    CAS  PubMed  Google Scholar 

  7. 7.

    Kraft C, Lasure B, Sharon M, Patel P, Minardi J. Pediatric lung abscess: immediate diagnosis by point-of-care ultrasound. Pediatr Emerg Care. 2018;34:447–9.

    Article  Google Scholar 

  8. 8.

    Chen HJ, Yu YH, Tu CY, et al. Ultrasound in peripheral pulmonary air-fluid lesions. Color Doppler imaging as an aid in differentiating empyema and abscess. Chest. 2009;135:1426–32.

    Article  Google Scholar 

Download references

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All authors have read and approved the manuscript for submission; have made a substantial contribution to the conception, design, gathering of data and a contribution to the writing and intellectual content of the article. PV is the guarantor for this paper.

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Correspondence to Cristina De Rose.

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De Rose, C., Valentini, P., Curatola, A. et al. Lung Ultrasound in Congenital Cardiac Abnormality: ALCAPA. Indian J Pediatr 88, 161–164 (2021). https://doi.org/10.1007/s12098-020-03208-z

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Keywords

  • Lung ultrasound
  • Ultrasound
  • ALCAPA
  • POCUS
  • Pulmonary