Key result
ALCAPA presents as albuterol-resistant respiratory distress in a 2-month-old infant.
Why the study?
Infants with previously undiagnosed cardiac conditions may present with nonspecific respiratory symptoms and be misdiagnosed as bronchiolitis.
Case Report (n=1)
Infants presenting with respiratory distress unresponsive to standard treatments like albuterol should be evaluated for underlying cardiac conditions such as anomalous origin of the left coronary artery from the pulmonary artery.
May warrant cardiac evaluation in albuterol-refractory infant distress; hypothesis-generating for ALCAPA prevalence and screening.
Infants with previously undiagnosed cardiac conditions may present to the emergency department with nonspecific signs and respiratory symptoms. These patients may be erroneously diagnosed as having bronchiolitis. We report a 2-month-old female infant who presented with respiratory distress and showed no improvement with nebulized albuterol treatment. This infant was found to have anomalous origin of the left coronary artery from the pulmonary artery.
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Ali et al. (2008) conducted a case report in Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) (n=1). A 2-month-old female infant presenting with respiratory distress and no improvement with nebulized albuterol was diagnosed with anomalous origin of the left coronary artery from the pulmonary artery.
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