Bronşiolit ve Dilate Kardiyomyopatisi Olan Bir Bebekte Sol Koroner Arterin Pulmoner Arterden Çıkış Anomalisi Alcapa

Öz

Dilate kardiyomyopatinin en yaygın nedeni viral myokardittir. Bununla birlikte sol koroner arterin pulmoner arterden çıkış anomalisi nadir bir durum olup dilate kardiyomyopatinin etiyolojisinde yüksek şüphe ile irdelenmelidir. Erken cerrahi düzeltme ile koroner arter çıkış anomalisinin prognozu iyidir. Bu bozukluğun farkındalığında olmak hızlı teşhis için önemlidir. Makalede 5 aylık bir süt çocuğunda RSV bronşioliti zemininde gelişen dilate kardiyomopati olgusu bildirilmektedir. RSV infeksiyonu ile viral myokardit geliştiği düşünülen bebekte kesin tanı sol koroner arterin pulmoner arterden çıkış anomalisi ALCAPA idi. Sol koroner arterin aortaya doğrudan reimplantasyon ameliyatı başarı ile sağlandı. Güncel Pediatri 2013; 11: 142-5

Anahtar Kelimeler

• ALCAPA, kardiyomyopati, infant, myokardit, RSV bronşioliti

Anomalous Origin of Left Coronary Artery from Pulmonary Artery ALCAPA in an Infant with Bronchiolitis and Dilated Cardiomyopathy

Abstract

The most common cause of dilated cardiomyopathy CMP is viral myocarditis. However, anomalous origin of the left coronary artery is a rare condition that should be evaluated with high suspicion in the differential diagnosis of an infant with dilated CMP. With early surgical correction, an anomalous coronary artery origin has a good prognosis. Awareness of this condition is essential for prompt diagnosis. This article reports a 5 months-old infant with dilated cardiomyopathy in the setting of RSV bronchiolitis. Anomalous origin of the left coronary artery from the pulmonary artery ALCAPA was the final diagnosis in the infant, who presented as viral myocarditis with RSV infection. She was operated successfully with the direct reimplantation of the coronary artery to the aorta. Journal of Current Pediatrics 2013; 11: 142-5

Keywords

• ALCAPA,cardiomyopathy,infant,myocarditis,RSV bronchiolitis

Kaynakça

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