Anomalous left coronary artery masquerading as infantile bronchiolitis

Wayne H. Franklin, Ann M. Dietrich, Robert W. Hickey, Margaret A. Brookens

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Four infants less than six months of age with anomalous left coronary artery from the pulmonary artery who present with symptoms of wheezing are described. All had cardiomegaly on chest radiographs and because of wheezing received beta-agonist agents (albuterol alone or with epinephrine). One developed cardiopulmonary collapse secondary to supraventricular tachycardia after administration of these agents. The literature is reviewed for utility of chest radiographs in infants presenting with wheezing and for the efficacy of beta-adrenergic agents in infants less than six months of age. The authors suggest that physicians have a low threshold for obtaining a chest radiograph prior to treating a first-time wheezing infant less than six months of age with a beta-agonist agent.

Original languageEnglish (US)
Pages (from-to)338-341
Number of pages4
JournalPediatric Emergency Care
Volume8
Issue number6
DOIs
StatePublished - Dec 1992

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Keywords

  • Albuterol
  • Anomalous coronary
  • Beta-adrenergic agonist
  • Chest radiograph
  • Epinephrine
  • Infant
  • Myocardial infarction
  • Wheezing

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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