Abstract
Abnormal origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare coronary anomaly in children that requires necessary and urgent repair. We report a child who was hospitalized with respiratory failure due respiratory syncytial viral (RSV) infection and was subsequently diagnosed with ALCAPA. Aggressive treatment for RSV included synagis and nebulized ribavirin prior to surgical repair. After waiting 4 weeks for the RSV infection to resolve, she underwent successful left coronary artery reimplantation on hospital day 27 and has regained normal left ventricular size and function.
MeSH terms
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Antibodies, Monoclonal / therapeutic use
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Antibodies, Monoclonal, Humanized
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Antiviral Agents / administration & dosage
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Antiviral Agents / therapeutic use
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Cardiac Catheterization
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Coronary Vessel Anomalies / complications*
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Coronary Vessel Anomalies / diagnosis
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Coronary Vessel Anomalies / surgery
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Electrocardiography
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Female
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Humans
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Infant
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Nebulizers and Vaporizers
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Palivizumab
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Pulmonary Artery*
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Replantation
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Respiratory Insufficiency / virology
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Respiratory Syncytial Virus Infections / complications*
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Respiratory Syncytial Virus Infections / drug therapy
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Ribavirin / administration & dosage
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Ribavirin / therapeutic use
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Treatment Outcome
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Ultrasonography, Doppler, Color
Substances
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Antibodies, Monoclonal
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Antibodies, Monoclonal, Humanized
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Antiviral Agents
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Ribavirin
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Palivizumab