房间隔缺损导致左冠状动脉主干受压

Extrinsic compression of the left main coronary artery by atrial septal defect.

作者信息

Jo Yusuke, Kawamura Akio, Jinzaki Masahiro, Kohno Takashi, Anzai Toshihisa, Iwanaga Shiro, Kokaji Kiyokazu, Yoshikawa Tsutomu, Yozu Ryohei, Kuribayashi Sachio, Ogawa Satoshi

机构信息

Division of Cardiology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.

出版信息

Ann Thorac Surg. 2008 Dec;86(6):1987-9. doi: 10.1016/j.athoracsur.2008.05.046.

DOI:10.1016/j.athoracsur.2008.05.046

PMID:19022030

Abstract

On rare occasions, extrinsic compression of the coronary artery can cause significant stenosis. We report a 42-year-old woman who was referred to our hospital for surgical repair of atrial septal defect. Cardiac 64-slice multi-detector computed tomography before the operation revealed the extrinsic compression of the proximal left main coronary artery by the marked dilatation of pulmonary trunk. The patient eventually underwent atrial septal defect closure and coronary artery bypass simultaneously. Four months after the operation, multi-detector computed tomographic scan revealed reduction of pulmonary trunk diameter and resolution of left main coronary artery narrowing.

摘要

在极少数情况下，冠状动脉的外部压迫可导致严重狭窄。我们报告一名42岁女性，她因房间隔缺损手术修复被转诊至我院。术前心脏64层多排螺旋计算机断层扫描显示，肺动脉主干明显扩张对左冠状动脉主干近端造成外部压迫。该患者最终同时接受了房间隔缺损修补术和冠状动脉搭桥术。术后4个月，多排螺旋计算机断层扫描显示肺动脉主干直径减小，左冠状动脉主干狭窄消失。