{"id":"https://openalex.org/W7224836633","doi":"https://doi.org/10.3390/jcm15218476","title":"Out-of-Hospital Cardiac Arrest as the First Manifestation of ALCAPA in a 9-Week-Old Infant: Survival to Discharge After Emergency Repair and VA-ECMO","display_name":"Out-of-Hospital Cardiac Arrest as the First Manifestation of ALCAPA in a 9-Week-Old Infant: Survival to Discharge After Emergency Repair and VA-ECMO","publication_year":2026,"publication_date":"2026-10-30","ids":{"openalex":"https://openalex.org/W7224836633","doi":"https://doi.org/10.3390/jcm15218476"},"language":"en","primary_location":{"id":"doi:10.3390/jcm15218476","doi":"https://doi.org/10.3390/jcm15218476","is_oa":true,"landing_page_url":"https://doi.org/10.3390/jcm15218476","pdf_url":null,"source":{"id":"https://openalex.org/S2737969411","display_name":"Journal of Clinical Medicine","issn_l":"2077-0383","issn":["2077-0383"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3390/jcm15218476","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075546242","display_name":"Grzegorz Wr\u00f3bel","orcid":"https://orcid.org/0000-0003-3788-1692","observed_orcids":["https://orcid.org/0000-0003-3788-1692"]},"institutions":[{"id":"https://openalex.org/I169495764","display_name":"Jan Kochanowski University","ror":"https://ror.org/00krbh354","country_code":"PL","type":"education","lineage":["https://openalex.org/I169495764"]}],"countries":["PL"],"is_corresponding":true,"raw_author_name":"Grzegorz Wr\u00f3bel","raw_affiliation_strings":["Department of Clinical and Experimental Pathology, Institute of Medical Sciences, Jan Kochanowski University, 25-516 Kielce, Poland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical and Experimental Pathology, Institute of Medical Sciences, Jan Kochanowski University, 25-516 Kielce, Poland","institution_ids":["https://openalex.org/I169495764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025257265","display_name":"Jakub Gruszka","orcid":"https://orcid.org/0000-0001-9701-4502","observed_orcids":["https://orcid.org/0000-0001-9701-4502"]},"institutions":[{"id":"https://openalex.org/I268303160","display_name":"Medical University of Warsaw","ror":"https://ror.org/04p2y4s44","country_code":"PL","type":"education","lineage":["https://openalex.org/I268303160"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Jakub Gruszka","raw_affiliation_strings":["2nd Department of Obstetrics and Gynecology, Faculty of Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"2nd Department of Obstetrics and Gynecology, Faculty of Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland","institution_ids":["https://openalex.org/I268303160"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077699087","display_name":"Piotr Lewitowicz","orcid":"https://orcid.org/0000-0002-5443-7975","observed_orcids":["https://orcid.org/0000-0002-5443-7975","https://orcid.org/0000-0003-2983-7659"]},"institutions":[{"id":"https://openalex.org/I169495764","display_name":"Jan Kochanowski University","ror":"https://ror.org/00krbh354","country_code":"PL","type":"education","lineage":["https://openalex.org/I169495764"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Piotr Lewitowicz","raw_affiliation_strings":["Department of Clinical and Experimental Pathology, Institute of Medical Sciences, Jan Kochanowski University, 25-516 Kielce, Poland"],"raw_orcid":"https://orcid.org/0000-0002-5443-7975","affiliations":[{"raw_affiliation_string":"Department of Clinical and Experimental Pathology, Institute of Medical Sciences, Jan Kochanowski University, 25-516 Kielce, Poland","institution_ids":["https://openalex.org/I169495764"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5070890219","display_name":"Olga K. Adamczyk-Gruszka","orcid":"https://orcid.org/0000-0003-1295-009X","observed_orcids":["https://orcid.org/0000-0003-1295-009X"]},"institutions":[{"id":"https://openalex.org/I169495764","display_name":"Jan Kochanowski University","ror":"https://ror.org/00krbh354","country_code":"PL","type":"education","lineage":["https://openalex.org/I169495764"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Olga Adamczyk-Gruszka","raw_affiliation_strings":["Department of Gynecology and Obstetrics, Institute of Medical Sciences, Jan Kochanowski University, 25-516 Kielce, Poland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecology and Obstetrics, Institute of Medical Sciences, Jan Kochanowski University, 25-516 Kielce, Poland","institution_ids":["https://openalex.org/I169495764"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5075546242"],"corresponding_institution_ids":["https://openalex.org/I169495764"],"apc_list":{"value":2600,"currency":"CHF","value_usd":3137},"apc_paid":{"value":2600,"currency":"CHF","value_usd":3137},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.87453054,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"15","issue":"21","first_page":"8476","last_page":"8476"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12018","display_name":"Coronary Artery Anomalies","score":0.989300012588501,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12018","display_name":"Coronary Artery Anomalies","score":0.989300012588501,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10300","display_name":"Congenital Heart Disease Studies","score":0.004399999976158142,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10675","display_name":"Mechanical Circulatory Support Devices","score":0.003599999938160181,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anomalous-origin-of-left-coronary-artery-from-pulmonary-artery","display_name":"anomalous origin of the left coronary artery from the pulmonary artery","score":0.921999990940094},{"id":"https://openalex.org/keywords/alcapa","display_name":"ALCAPA","score":0.859000027179718},{"id":"https://openalex.org/keywords/out-of-hospital-cardiac-arrest","display_name":"out-of-hospital cardiac arrest","score":0.9800000190734863},{"id":"https://openalex.org/keywords/infants","display_name":"infants","score":0.6819999814033508},{"id":"https://openalex.org/keywords/cardiogenic-shock","display_name":"cardiogenic shock","score":0.875},{"id":"https://openalex.org/keywords/venoarterial-extracorporeal-membrane-oxygenation","display_name":"venoarterial extracorporeal membrane oxygenation","score":0.9559999704360962},{"id":"https://openalex.org/keywords/emergency-cardiac-surgery","display_name":"emergency cardiac surgery","score":0.6800000071525574},{"id":"https://openalex.org/keywords/mitral-regurgitation","display_name":"mitral regurgitation","score":0.8389999866485596},{"id":"https://openalex.org/keywords/disseminated-intravascular-coagulation","display_name":"disseminated intravascular coagulation","score":0.8629999756813049},{"id":"https://openalex.org/keywords/acute-kidney-injury","display_name":"acute kidney injury","score":0.8579999804496765},{"id":"https://openalex.org/keywords/neurodevelopmental-outcomes","display_name":"neurodevelopmental outcomes","score":0.6069999933242798}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9682999849319458},{"id":"https://openalex.org/C2776850375","wikidata":"https://www.wikidata.org/wiki/Q2477062","display_name":"Cardiogenic shock","level":3,"score":0.7501999735832214},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.7139000296592712},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6880000233650208},{"id":"https://openalex.org/C78085059","wikidata":"https://www.wikidata.org/wiki/Q641303","display_name":"Ejection fraction","level":3,"score":0.6312000155448914},{"id":"https://openalex.org/C2776818218","wikidata":"https://www.wikidata.org/wiki/Q752800","display_name":"Asystole","level":2,"score":0.5899999737739563},{"id":"https://openalex.org/C2776858399","wikidata":"https://www.wikidata.org/wiki/Q1385195","display_name":"Extracorporeal membrane oxygenation","level":2,"score":0.5041000247001648},{"id":"https://openalex.org/C2781300812","wikidata":"https://www.wikidata.org/wiki/Q178061","display_name":"Shock (circulatory)","level":2,"score":0.44350001215934753},{"id":"https://openalex.org/C2780231137","wikidata":"https://www.wikidata.org/wiki/Q744391","display_name":"Left coronary artery","level":3,"score":0.41780000925064087},{"id":"https://openalex.org/C2780679668","wikidata":"https://www.wikidata.org/wiki/Q6882374","display_name":"Mitral valve repair","level":3,"score":0.40119999647140503},{"id":"https://openalex.org/C2778088351","wikidata":"https://www.wikidata.org/wiki/Q429285","display_name":"Right coronary artery","level":4,"score":0.39660000801086426},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.3928000032901764},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.35850000381469727},{"id":"https://openalex.org/C2780875844","wikidata":"https://www.wikidata.org/wiki/Q186235","display_name":"Myocarditis","level":2,"score":0.3528999984264374},{"id":"https://openalex.org/C2778165595","wikidata":"https://www.wikidata.org/wiki/Q5491454","display_name":"Resuscitation","level":2,"score":0.3474000096321106},{"id":"https://openalex.org/C2778619729","wikidata":"https://www.wikidata.org/wiki/Q7317197","display_name":"Return of spontaneous circulation","level":4,"score":0.3465000092983246},{"id":"https://openalex.org/C2780472472","wikidata":"https://www.wikidata.org/wiki/Q424337","display_name":"Acute kidney injury","level":2,"score":0.3449000120162964},{"id":"https://openalex.org/C2780940725","wikidata":"https://www.wikidata.org/wiki/Q206280","display_name":"Pulmonary artery","level":2,"score":0.3379000127315521},{"id":"https://openalex.org/C139940330","wikidata":"https://www.wikidata.org/wiki/Q596579","display_name":"Cardiac output","level":3,"score":0.3138999938964844},{"id":"https://openalex.org/C2777385415","wikidata":"https://www.wikidata.org/wiki/Q1615191","display_name":"Cardiac catheterization","level":2,"score":0.3116999864578247},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.311599999666214},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.30300000309944153},{"id":"https://openalex.org/C57900726","wikidata":"https://www.wikidata.org/wiki/Q492905","display_name":"Diastole","level":3,"score":0.2955999970436096},{"id":"https://openalex.org/C2775854548","wikidata":"https://www.wikidata.org/wiki/Q6882369","display_name":"Mitral valve replacement","level":3,"score":0.29089999198913574},{"id":"https://openalex.org/C2776888751","wikidata":"https://www.wikidata.org/wiki/Q767485","display_name":"Respiratory failure","level":2,"score":0.2800999879837036},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.2768000066280365},{"id":"https://openalex.org/C2775935837","wikidata":"https://www.wikidata.org/wiki/Q202837","display_name":"Sudden cardiac death","level":2,"score":0.2655999958515167},{"id":"https://openalex.org/C2778249958","wikidata":"https://www.wikidata.org/wiki/Q2349469","display_name":"Ascending aorta","level":3,"score":0.2630000114440918},{"id":"https://openalex.org/C2777205947","wikidata":"https://www.wikidata.org/wiki/Q1326997","display_name":"Pulseless electrical activity","level":4,"score":0.25380000472068787},{"id":"https://openalex.org/C2779980429","wikidata":"https://www.wikidata.org/wiki/Q101004","display_name":"Aorta","level":2,"score":0.2515000104904175}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3390/jcm15218476","doi":"https://doi.org/10.3390/jcm15218476","is_oa":true,"landing_page_url":"https://doi.org/10.3390/jcm15218476","pdf_url":null,"source":{"id":"https://openalex.org/S2737969411","display_name":"Journal of Clinical Medicine","issn_l":"2077-0383","issn":["2077-0383"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3390/jcm15218476","doi":"https://doi.org/10.3390/jcm15218476","is_oa":true,"landing_page_url":"https://doi.org/10.3390/jcm15218476","pdf_url":null,"source":{"id":"https://openalex.org/S2737969411","display_name":"Journal of Clinical Medicine","issn_l":"2077-0383","issn":["2077-0383"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9922999739646912}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2958523849","https://openalex.org/W2107754561","https://openalex.org/W7212086772","https://openalex.org/W3159103941","https://openalex.org/W7223470856","https://openalex.org/W4389421060","https://openalex.org/W1993620391","https://openalex.org/W2949762587","https://openalex.org/W2136505239","https://openalex.org/W3016593929"],"abstract_inverted_index":{"Background":[0],"and":[1,34,63,102,116,143,164,211,234],"Clinical":[2],"Significance:":[3],"Anomalous":[4],"origin":[5],"of":[6,24,52,66,73],"the":[7,12,29,58,76,120,123,216],"left":[8,124],"coronary":[9,114,125,217],"artery":[10,14,115],"from":[11,119],"pulmonary":[13],"(ALCAPA)":[15],"usually":[16],"presents":[17],"with":[18,98,105,189,207,221],"heart":[19],"failure":[20],"at":[21,38,47,49],"2\u20133":[22],"months":[23],"age;":[25],"cardiac":[26,209,233],"arrest":[27],"as":[28,173],"first":[30],"manifestation":[31],"is":[32,237],"rare":[33],"often":[35],"recognized":[36],"only":[37],"autopsy.":[39],"Case":[40],"Presentation:":[41],"A":[42],"previously":[43],"healthy":[44],"girl":[45],"collapsed":[46],"home":[48],"65":[50],"days":[51,142],"age.":[53],"After":[54],"dispatcher-assisted":[55],"parental":[56],"resuscitation,":[57],"emergency":[59],"team":[60],"found":[61],"asystole":[62],"achieved":[64],"return":[65],"spontaneous":[67],"circulation":[68],"after":[69],"approximately":[70],"4":[71,141],"min":[72],"professional":[74],"resuscitation;":[75],"total":[77],"low-flow":[78],"time":[79],"was":[80,84,132,165,184,197],"not":[81],"recorded.":[82],"She":[83,183],"in":[85,204],"cardiogenic":[86],"shock":[87],"(left":[88],"ventricular":[89],"ejection":[90,150],"fraction":[91,151],"19.8%,":[92],"high-sensitivity":[93],"troponin":[94],"T":[95],"2620":[96],"ng/L)":[97],"acute":[99],"kidney":[100],"injury":[101],"coagulopathy":[103],"consistent":[104],"disseminated":[106],"intravascular":[107],"coagulation.":[108],"Echocardiography":[109],"showed":[110],"a":[111],"dilated":[112],"right":[113],"no":[117,193],"flow":[118],"aorta":[121],"into":[122],"artery.":[126],"Emergency":[127,219],"repair":[128,220],"on":[129,167,186],"day":[130,156,168,187],"1":[131],"followed":[133],"by":[134,155],"venoarterial":[135],"extracorporeal":[136],"membrane":[137],"oxygenation":[138],"(VA-ECMO)":[139],"for":[140],"continuous":[144],"renal":[145],"replacement":[146],"therapy.":[147],"The":[148],"Simpson":[149],"reached":[152],"about":[153],"50%":[154],"9,":[157],"fell":[158],"to":[159,178,226],"37\u201340%":[160],"during":[161,175],"respiratory":[162],"deterioration":[163],"45\u201350%":[166],"27;":[169],"mitral":[170],"regurgitation,":[171],"graded":[172],"massive":[174],"VA-ECMO,":[176],"regressed":[177],"trace":[179],"without":[180],"valve":[181],"surgery.":[182],"discharged":[185],"42":[188],"impaired":[190],"diastolic":[191],"indices;":[192],"formal":[194],"neurological":[195],"assessment":[196],"documented.":[198],"Conclusions:":[199],"ALCAPA":[200],"should":[201,214],"be":[202],"considered":[203],"every":[205],"infant":[206],"unexplained":[208],"arrest,":[210],"post-resuscitation":[212],"echocardiography":[213],"assess":[215],"origins.":[218],"VA-ECMO":[222],"can":[223],"achieve":[224],"survival":[225],"discharge":[227],"despite":[228],"multiorgan":[229],"failure,":[230],"but":[231],"long-term":[232],"neurodevelopmental":[235],"follow-up":[236],"required.":[238]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-31T00:00:00"}