International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access
Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc
Journal website https://ijcp.elmerpub.com

Case Report

Volume 14, Number 2, October 2025, pages 55-59

Anomalous Right Coronary Artery in a Cyanotic Two-Month-Old Infant

Figure

↓  Figure 1. Two-dimensional echocardiography demonstrated right coronary artery arising from the left coronary cusp on cross-sectional parasternal short axis view. The yellow and green arrows indicate the LMCA and ARCA, respectively. AoV: aortic valve; ARCA: anomalous right coronary artery; LMCA: left main coronary artery; PA: pulmonary artery; LA: left atrium.
Figure 1.

Table

↓  Table 1. Laboratory Investigations
 
Tests (SI units) Results Reference range
SI: international system of units; PCR: polymerase chain reaction; SARS-CoV-2: severe acute respiratory syndrome coronavirus 2.
Complete blood count
Hemoglobin (g/L) 99.00 117.00 - 147.00
White blood cell (× 109/L) 13.1 4.5 - 13.0
  Neutrophils (× 109/L) 3.0 1.0 - 9.0
  Lymphocytes (× 109/L) 8.2 2.5 - 16.5
  Monocytes (× 109/L) 1.0 0.0 - 2.0
  Eosinophils (× 109/L) 0.8 0.0 - 0.5
  Basophils (× 109/L) 0.0 0.0 - 0.2
Platelets (× 109/L) 376 130 - 400
Chemistries (serum)
  Blood urea nitrogen (mmol/L) 3.57 3.21 - 7.14
  Calcium (mmol/L) 2.75 2.10 - 2.55
  Chloride (mmol/L) 106 98 - 107
  Creatinine (µmol/L) < 26.52 61.88 - 114.92
  Glucose (mmol/L) 5.00 4.11 - 6.11
  Potassium (mmol/L) 5.00 3.50 - 5.10
  Sodium (mmol/L) 134 137 - 145
  Total carbon dioxide (mmol/L) 23 22 - 30
C-reactive protein (mg/L) < 5.00 7.00 - 10.00
Respiratory virus panel (nasopharyngeal) PCR
  Adenovirus Positive Not detected
  Influenza A Not detected Not detected
  Influenza B Not detected Not detected
  Respiratory syncytial virus Not detected Not detected
  Rhinovirus Not detected Not detected
  SARS-CoV-2 Not detected Not detected