Development of Myocardial Infarction in a 12-Year-Old Female after the Use of Inhaled Salbutamol

Abstract

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) accounts for 0.023% of all cases reported in pediatric patients. According to literature, only a handful of ALCAPA patients are able to reach adulthood. Clinical manifestations of ALCAPA range from fatigue during exercise to sudden death in adulthood. Herein, we described a 12-year-old symptomatic patient with ALCAPA who had severe chest pain after using salbutamol treatment for presumed asthma. ALCAPA is one of the curable versions of myocardial ischemia and infarction in childhood. Due to clinical findings in conjunction with electrocardiogram and echocardiography, a computed tomography scan with coronary angiography was performed and the diagnosis of ALCAPA was confirmed. We presented this case because ALCAPA-related myocardial ischemia and infarction in children are rare with only sporadic cases reported. This case illustrated the need for close monitoring and surgery as the best treatment for ALCAPA associated with myocardial infarction.

Keywords

ALCAPA - myocardial infarction - salbutamol

Authors' Contributions

All authors participated in creating content for the manuscript, editing, and providing final approval for submission.

Note

This article does not contain any studies with human participants or animals performed by any of the authors. Institutional Review Board approval was not required for this case report. Permission was granted by the parents and patient to publish the case report.

Publication History

Received: 25 January 2020

Accepted: 01 March 2020

Article published online:
05 May 2020

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