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Case Reports in Pediatrics
Volume 2016 (2016), Article ID 7313942, 4 pages
http://dx.doi.org/10.1155/2016/7313942
Case Report

A 14-Year-Old Boy with Unusual Presentation of Respiratory Distress

1Division of Pediatric Cardiology, Cincinnati Children’s Hospital, Cincinnati, OH, USA
2Division of Pediatric Cardiovascular Surgery, Cincinnati Children’s Hospital, Cincinnati, OH, USA

Received 1 October 2016; Accepted 13 November 2016

Academic Editor: Larry A. Rhodes

Copyright © 2016 Adam W. Powell et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

There are multiple cardiac etiologies for wheezing and respiratory distress which require a high degree of suspicion for the pediatrician to diagnose. We present a case of a patient with a history of long-standing mild persistent asthma with minimal improvement on controller and bronchodilator therapies who presented to the emergency room with acute respiratory distress. When he demonstrated a lack of improvement with traditional respiratory therapies, additional etiologies of respiratory distress were considered. Ultimately an echocardiogram was performed, which revealed the diagnosis of cor triatriatum. He underwent surgical resection of his accessory membrane and has had no additional symptoms of asthma since repair.