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一名12岁女孩左冠状动脉严重开口狭窄作为高安动脉炎的首发表现。

Severe ostial stenosis of the left coronary artery in a 12-year-old girl as the first manifestation of Takayasu's arteritis.

作者信息

Moortgat Stephanie, Tuerlinckx David, Bodart Eddy, El Khoury Gebrine, Moniotte Stephane

机构信息

Department of Paediatrics, Cliniques universitaires de Mont-Godinne, Yvoir, Belgium.

出版信息

Acta Cardiol. 2009 Dec;64(6):825-9. doi: 10.2143/AC.64.6.2044753.

DOI:10.2143/AC.64.6.2044753
PMID:20128165
Abstract

We report the case of a 12-year-old girl who presented with isolated chest pain on minimal exertion over the last 2 months. A coronary angiography revealed severe narrowing of the left coronary artery ostium and increased thickness of the ascending aortic wall was demonstrated by transoesophageal echocardiography, suggesting the diagnosis ofTakayasu's arteritis. The patient was successfully treated with corticosteroids and coronary artery bypass graft surgery.

摘要

我们报告了一名12岁女孩的病例,该女孩在过去2个月中,轻微活动时即出现孤立性胸痛。冠状动脉造影显示左冠状动脉口严重狭窄,经食管超声心动图显示升主动脉壁厚度增加,提示诊断为高安动脉炎。该患者通过皮质类固醇和冠状动脉搭桥手术成功治愈。

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1
Severe ostial stenosis of the left coronary artery in a 12-year-old girl as the first manifestation of Takayasu's arteritis.一名12岁女孩左冠状动脉严重开口狭窄作为高安动脉炎的首发表现。
Acta Cardiol. 2009 Dec;64(6):825-9. doi: 10.2143/AC.64.6.2044753.
2
Takayasu's arteritis with ostial and left main coronary artery stenosis.高安动脉炎伴开口处及左主干冠状动脉狭窄
Tex Heart Inst J. 2007;34(4):470-4.
3
Ostial left main stenosis due to takayasu arteritis: multimodality imaging and surgical ostioplasty.高安动脉炎所致左主干开口狭窄:多模态影像学检查与外科开口成形术
Echocardiography. 2011 Jan;28(1):E5-8. doi: 10.1111/j.1540-8175.2010.01243.x. Epub 2010 Dec 22.
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Regressed coronary ostial stenosis in a young female with Takayasu arteritis: a case report.Takayasu 动脉炎致年轻女性冠状动脉开口处狭窄消退 1 例报告。
BMC Cardiovasc Disord. 2019 Apr 2;19(1):79. doi: 10.1186/s12872-019-1066-7.
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Aortic intimal fold in Takayasu arteritis causing obstruction of left coronary ostium.大动脉炎中的主动脉内膜皱襞导致左冠状动脉口阻塞。
Pediatr Cardiol. 2011 Oct;32(7):990-2. doi: 10.1007/s00246-011-0023-8. Epub 2011 Jun 7.
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[Coronary ostial stenosis due to aortitis syndrome (Takayasu's arteritis) in a young female: report of a case].[年轻女性主动脉炎综合征(高安动脉炎)所致冠状动脉口狭窄:病例报告]
J Cardiogr. 1983 Sep;13(3):761-8.
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Stenosis of the main stem of the left coronary artery in a teenager with Takayasu's arteritis.一名患有高安动脉炎的青少年出现左冠状动脉主干狭窄。
Cardiol Young. 2009 Dec;19(6):638-40. doi: 10.1017/S1047951109990886. Epub 2009 Oct 23.
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Successful coronary revascularization using the PAS-Port system in a patient with Takayasu's arteritis and Behcet's disease.在一名患有大动脉炎和白塞病的患者中使用PAS-Port系统成功进行冠状动脉血运重建。
Ann Thorac Surg. 2006 Nov;82(5):1889-91. doi: 10.1016/j.athoracsur.2006.02.054.
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Coronary arterial narrowing in Takayasu's aortitis.高安动脉炎中的冠状动脉狭窄
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[Off-pump coronary artery bypass grafting in an early-teen patient with aortitis syndrome].[一名青少年主动脉炎综合征患者的非体外循环冠状动脉搭桥术]
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Portal hypertension: an uncommon clinical manifestation of Takayasu arteritis in a 9-year-old child.门静脉高压症:一名9岁儿童高安动脉炎的罕见临床表现。
Open Access Rheumatol. 2016 Nov 15;8:115-118. doi: 10.2147/OARRR.S114689. eCollection 2016.
2
Non-invasive imaging of vascular inflammation.血管炎症的无创成像。
Front Immunol. 2014 Aug 18;5:399. doi: 10.3389/fimmu.2014.00399. eCollection 2014.