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Serio P, Chiappa E, Fainardi V, Favilli S, Murzi B, Baggi R, Arcieri L, Leone R, Mirabile L. ALCAPA and massive pulmonary atelectasis: how a stent in the airway can be life-saving. Int J Pediatr Otorhinolaryngol 2014; 78:2015-7. [PMID: 25245256 DOI: 10.1016/j.ijporl.2014.08.044] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2014] [Revised: 08/28/2014] [Accepted: 08/30/2014] [Indexed: 01/25/2023]
Abstract
Anomalous left coronary artery from pulmonary artery (ALCAPA) is a rare congenital anomaly in which left coronary artery arises from the pulmonary artery resulting in progressive myocardial ischemia and dysfunction of the left ventricle. We report a case of ALCAPA with severe cardiac and respiratory failure and huge heart dilation compressing the left main bronchus and preventing from an effective ventilation. Emergency bronchial stenting allowed to improve left lung atelectasis, reduce pulmonary hypertension, resume anterograde left coronary artery perfusion and stabilize cardiovascular conditions to undertake a successful surgical correction.
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Affiliation(s)
- Paola Serio
- Respiratory Endoscopy Unit, Department of Paediatric Anesthesia and Intensive Care, Meyer Children Hospital, Florence, Italy.
| | - Enrico Chiappa
- Pediatric Cardiology Unit, Meyer Children Hospital, Florence, Italy
| | - Valentina Fainardi
- Respiratory Endoscopy Unit, Department of Paediatric Anesthesia and Intensive Care, Meyer Children Hospital, Florence, Italy; Department of Paediatrics, Parma Children Hospital, Parma, Italy
| | - Silvia Favilli
- Pediatric Cardiology Unit, Meyer Children Hospital, Florence, Italy
| | - Bruno Murzi
- Pediatric Cardiac Surgery, Heart Hospital, G. Monasterio Tuscany Foundation, Massa, Italy
| | - Roberto Baggi
- Respiratory Endoscopy Unit, Department of Paediatric Anesthesia and Intensive Care, Meyer Children Hospital, Florence, Italy
| | - Luigi Arcieri
- Pediatric Cardiac Surgery, Heart Hospital, G. Monasterio Tuscany Foundation, Massa, Italy
| | - Roberto Leone
- Respiratory Endoscopy Unit, Department of Paediatric Anesthesia and Intensive Care, Meyer Children Hospital, Florence, Italy; Department of Anesthesia and Intensive Care, Ospedale Riuniti di Foggia, Foggia, Italy
| | - Lorenzo Mirabile
- Respiratory Endoscopy Unit, Department of Paediatric Anesthesia and Intensive Care, Meyer Children Hospital, Florence, Italy
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