A dangerous case of colic: anomalous left coronary artery presenting with paroxysms of irritability.
Anomalous left coronary artery originating from the pulmonary artery (ALCAPA) is a rare, but potentially lethal, cause for irritability in infancy. We present the case of a 12-week-old male infant who was managed as a colic patient for several weeks before the diagnosis of ALCAPA was established. A brief review of previous case reports demonstrated that paroxysms of irritability can be a presentation of this disorder. In the majority of cases the manifestations of ALCAPA can be differentiated from other diseases known to cause a infant to be colicky.
Mahle
W T
WT
Division of Pediatric Cardiology, Children's Hospital of Philadelphia, PA 19104, USA.
D003085:Colic / Q000175:diagnosis*; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis* / Q000523:psychology; D003448:Crying; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007223:Infant; D018730:Infant Behavior; D007231:Infant, Newborn; D007508:Irritable Mood; D008297:Male; D012008:Recurrence; D013035:Spasm / Q000209:etiology