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.
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.

Table

Table 1. Laboratory Investigations
 
Tests (SI units)ResultsReference 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)99.00117.00 - 147.00
White blood cell (× 109/L)13.14.5 - 13.0
  Neutrophils (× 109/L)3.01.0 - 9.0
  Lymphocytes (× 109/L)8.22.5 - 16.5
  Monocytes (× 109/L)1.00.0 - 2.0
  Eosinophils (× 109/L)0.80.0 - 0.5
  Basophils (× 109/L)0.00.0 - 0.2
Platelets (× 109/L)376130 - 400
Chemistries (serum)
  Blood urea nitrogen (mmol/L)3.573.21 - 7.14
  Calcium (mmol/L)2.752.10 - 2.55
  Chloride (mmol/L)10698 - 107
  Creatinine (µmol/L)< 26.5261.88 - 114.92
  Glucose (mmol/L)5.004.11 - 6.11
  Potassium (mmol/L)5.003.50 - 5.10
  Sodium (mmol/L)134137 - 145
  Total carbon dioxide (mmol/L)2322 - 30
C-reactive protein (mg/L)< 5.007.00 - 10.00
Respiratory virus panel (nasopharyngeal) PCR
  AdenovirusPositiveNot detected
  Influenza ANot detectedNot detected
  Influenza BNot detectedNot detected
  Respiratory syncytial virusNot detectedNot detected
  RhinovirusNot detectedNot detected
  SARS-CoV-2Not detectedNot detected