Ventricular dysfunction in a low birthweight, premature neonate

Commentary: Alphabet soup: Successful management of ALCAPA in a neonate with LBW on VA ECMOThe Journal of Thoracic and Cardiovascular SurgeryPreviewLeft ventricular dilation and dysfunction in a small neonate born preterm presents a challenging situation. In an undifferentiated patient, the diagnostic considerations are broad, including metabolic disorders, infections, anatomic lesions, and coronary anomalies. However, Skaff and colleagues1 present a patient in the current issue of the Journal who developed these symptoms immediately after a successful medical closure of a patent ductus arteriosus. This constellation of symptoms led to the successful diagnosis of an anomalous coronary artery from the pulmonary artery (ALCAPA). Full-Text PDF