Hoarseness as the initial clinical presentation of anomalous left coronary artery from the pulmonary artery

Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital anomaly that, if left untreated, will most often result in severe myocardial ischemia and significant morbidity and mortality. We report an unusual presentation of this defect in a 2-month-old infant who had...

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Bibliographic Details
Published in:Pediatric cardiology 2005-10, Vol.26 (5), p.668-671
Main Authors: Allen, D R, Schieken, R M, Donofrio, M T
Format: Article
Language:English
Subjects:
Blood Vessel Prosthesis Implantation
Care and treatment
Case studies
Congenital heart disease
Constriction, Pathologic
Coronary Vessel Anomalies - complications
Coronary Vessel Anomalies - diagnosis
Coronary Vessel Anomalies - surgery
Diagnosis
Diagnosis, Differential
Echocardiography, Doppler, Color
Extracorporeal Membrane Oxygenation
Female
Hoarseness
Hoarseness - etiology
Humans
Infant
Pulmonary Artery - abnormalities
Pulmonary Artery - surgery
Radiography, Thoracic
Recurrent Laryngeal Nerve - pathology
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Summary:Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital anomaly that, if left untreated, will most often result in severe myocardial ischemia and significant morbidity and mortality. We report an unusual presentation of this defect in a 2-month-old infant who had an initial complaint of a "hoarse cry." We theorize that impingement of the recurrent laryngeal nerve due to dilatation of the pulmonary artery was the most likely etiology of the patient's symptoms. This case serves as an important reminder that serious congenital heart disease may present with any number of complaints and unusual findings.
ISSN:0172-0643
1432-1971
DOI:10.1007/s00246-004-0846-7