Unexplained near-drowning can reveal ALCAPA in children

Arch Pediatr. 2021 Apr;28(3):252-254. doi: 10.1016/j.arcped.2020.12.001. Epub 2021 Jan 22.

Abstract

An 11-year-old girl experienced an episode of near-drowning. She was immediately rescued and was defibrillated. Transthoracic echocardiography and coronary computed tomographic angiography confirmed the diagnosis of anomalous left coronary artery from the pulmonary artery (ALCAPA). We report a rare description of this congenital coronary anomaly in a child, revealed after exercise-induced sudden cardiac arrest while swimming.

Keywords: ALCAPA; Children; Computed tomographic angiography; Coronary malformation; Drowning; Echocardiography.

Publication types

  • Case Reports

MeSH terms

  • Bland White Garland Syndrome / complications
  • Bland White Garland Syndrome / diagnostic imaging*
  • Child
  • Computed Tomography Angiography*
  • Coronary Angiography*
  • Coronary Vessels / diagnostic imaging
  • Echocardiography*
  • Female
  • Heart Arrest / etiology*
  • Humans
  • Near Drowning / etiology*
  • Pulmonary Artery / abnormalities
  • Pulmonary Artery / diagnostic imaging
  • Swimming