title: [Anomalous left coronary artery from pulmonary artery revealed by acute bronchiolitis].
abstract: Despite its common occurrence bronchiolitis can reveal many disorders such as malformations or immunological diseases. We report a rare and serious cause of bronchiolitis in the newborn: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA).
  
  
  METHODS
  A four-month-old infant was admitted with hypoxic bronchiolitis. Congenital heart disease was suspected in view of the severity of symptoms and the association of poor weight gain and cardiomegaly. Transthoracic Doppler echocardiography performed by an experienced team and coronary multislice spiral computed tomography led to the diagnosis of a left coronary artery arising from the proximal left side of the pulmonary artery trunk.
  
  
  CONCLUSIONS
  ALCAPA is a rare congenital anomaly that can be revealed by intercurrent infection such as bronchiolitis in infancy. Only early diagnosis and surgery to restore a system with two normally arising coronary arteries can produce a satisfactory outcome, possibly leading to progressive myocardial recovery.
authors.affiliation: Service de Pédiatrie, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, 94000 Créteil, France.
authors.forename: N
authors.initials: N
authors.lastname: Nakle
authors.forename: S
authors.initials: S
authors.lastname: Biscardi
authors.forename: V
authors.initials: V
authors.lastname: Lambert
authors.forename: A
authors.initials: A
authors.lastname: Sigal-Cinqualbre
authors.forename: R
authors.initials: R
authors.lastname: Epaud
authors.forename: F
authors.initials: F
authors.lastname: Madhi
mesh_terms: D001988:Bronchiolitis / Q000000981:diagnostic imaging*; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D004452:Echocardiography; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed