Cheng Cheung Wah Boron, Lee David P, Rosenthal David N, Feinstein Jeffrey A
Department of Pediatrics, Stanford University, Stanford, California, USA.
Catheter Cardiovasc Interv. 2006 Oct;68(4):632-6. doi: 10.1002/ccd.20750.
Congenital or nonsurgically acquired obstructive coronary artery disease in infancy is exceedingly rare, and previous reports of catheter-based therapies in very young patients have been solely in patients having undergone arterial switch or other cardiovascular surgical procedures. We describe a previously unreported cause for ventricular dysfunction and heart failure in an infant, isolated congenital circumflex coronary artery stenosis, and successful treatment with percutaneous transluminal coronary angioplasty. Technical considerations, immediate results, and 3-year follow-up are provided.
先天性或非手术获得性婴儿期阻塞性冠状动脉疾病极为罕见，以往关于极年幼患者基于导管治疗的报道仅见于接受动脉调转术或其他心血管外科手术的患者。我们描述了一例婴儿心室功能障碍和心力衰竭的此前未报道的病因——孤立性先天性回旋支冠状动脉狭窄，并经皮腔内冠状动脉成形术成功治疗。文中提供了技术考量、即刻结果及3年随访情况。
