Abstract
An: 2017, Nr.2, Articol Nr. 13
Title: 

ISCHEMIC CARDIOGENIC SHOCK IN THE INFANT BY ANOMALOUS ORIGIN OF THE LEFT CORONARY ARTERY FROM THE PULMONARY ARTERY

Authors: 

      Aniela Rugină - “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, Pediatrics Clinic I
      A. Cărăuleanu - “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, Obstetrics Clinic II
      R. Pintilie, V.G. Rugină - “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, Obstetrics Clinic IV
      Iulia Ciongradi, I. Sârbu - “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, Department of Pediatric and Orthopaedic Surgery
      ISCHEMIC CARDIOGENIC SHOCK IN THE INFANT BY ANOMALOUS ORIGIN OF THE LEFT CORONARY ARTERY FROM THE PULMONARY ARTERY (Abstract): Anomalous origin of the left coronary artery (LCA) in the pulmonary artery (PA) is a commonly asymptomatic malformation at birth until the early postpartum PA when pressure drops to a critical level, causing congestive heart failure or myocardial infarction with cardiogenic ischemic shock. The authors present the case of an infant aged one month, which is admitted for clinical signs of congestive heart failure associating hypotension and prolonged recolorating time with dilated cardiomyopathy diagnosed by bidimensional transthoracic echocardiography and myocardial infarction in the electrocardiogram. Under treatment the evolution was unfavorable and the macroscopic anatomopathologic examination confirmed the abnormal origin of LCA from PA, dilated cardiomyopathy, subendocardial necrosis and secondary fibroelastosis.
Key words: CONGENITAL ANOMALY OF THE CORONARY ARTERIES, CONGESTIVE HEART FAILURE, DILATED CARDIOMYOPATHY, SECONDARY FIBROELASTOSIS
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