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

作　　者：Lei Zhang Tiewei Lv Xiaoyan Liu Chuan Feng Min Zheng Jie Tian Huichao Sun 

机构地区：[1]Department of Cardiology,Children’s Hospital of Chongqing Medical University,Ministry of Education Key Laboratory of Child Development and Disorders,Yuzhong District,Chongqing,China [2]China International Science and Technology Cooperation Base of Child,Development and Critical Disorders,Chongqing Key Laboratory of Pediatrics,Chongqing,China

出　　处：《Cardiovascular Innovations and Applications》2021年第2期289-296,共8页心血管创新与应用（英文）

基　　金：The project was funded by the Natural Science Foundation of Chongqing Science and Technology Commission(cstc2019jcyj-msxmX0866).

摘　　要：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 fi broelastosis and was treated withγ-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.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.

关 键 词：heart failure anomalous origin of a coronary artery left coronary artery from the pulmonary artery endocardial fi broelastosis 

分 类 号：R54[医药卫生—心血管疾病]