Infant with cardiac and bronchial anomalies

Body Region: Cardiovascular
Author: Jean-François Paul, MD, Paris, France

1. Patient presentation
2. CT Images
3. CT Findings
4. Diagnosis
5. References


1. Patient presentation

  • A 9-month-old infant was referred in pediatric-cardiology unit for suspicion of
    anomalous origin of the left coronary artery from the pulmonary artery. He was born forward with a
    low birth weight (2.4 kg). His chest X-ray, done after several episodes of bronchitis, showed a
    cardiomegaly and peribronchial hypervascularization. His electrocardiogram was in a sinus rhythm,
    and pointed electrics signs of aftereffects in the anterolateral territory. His trans-thoracic
    echocardiography discovered a dilated left ventricle with a systolic dysfunction (35mm/25mm
    shorteness’ fraction = 17%), akinesia of the anteri-apical wall, a mitral regurgitation and
    difficulties to see the coronary arteries.
  • A CT coronary angiography was performed to look for possible coronary
    anomaly

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