Hussain Ijaz, Patel Najma, Ghaffar Abdul, Kundi Asadullah
Department of Paediatric Cardiology, The National Institute of Cardiovascular Diseases, Karachi.
J Coll Physicians Surg Pak. 2010 Jan;20(1):3-5.
To determine coronary artery anomalies in tetralogy of Fallot in Pakistani children as seen on angiography.
Case series.
The National Institute of Cardiovascular Diseases, Karachi, Pakistan from July 2006 to July 2007.
Children under 15 years of age with echocardiographic diagnosis of tetralogy of Fallot were included in the study. All patients had pre-operative cardiac catheterization and angiography. Coronary arteries were studied with a nonselective aortic root angiogram in standard cranially tilted left anterior oblique view. The frequency of a normal and an anomalous coronary was determined.
Of the 83 patients, 78% were male and had a mean age of 8.9 years. Their mean weight was 14.3 kilograms. Seventy six (91.6%) had a normal coronary anatomy while 7 (8.4%) patients had anomalous coronary arteries. Among the patients with coronary anomalies, the commonest was a single origin coronary artery in 04 (57.14%) cases. Three (42.86%) had an anomalous origin of left anterior descending artery from the right coronary artery.
Coronary artery anomalies were detected in 8.4% of the cases with tetralogy of Fallot. Single origin coronary artery anomaly was the commonest anomaly.
通过血管造影确定巴基斯坦儿童法洛四联症患者的冠状动脉异常情况。
病例系列研究。
2006年7月至2007年7月于巴基斯坦卡拉奇的国家心血管疾病研究所。
研究纳入15岁以下经超声心动图诊断为法洛四联症的儿童。所有患者术前行心导管检查及血管造影。采用标准头倾左前斜位非选择性主动脉根部血管造影研究冠状动脉。确定正常及异常冠状动脉的发生率。
83例患者中，78%为男性，平均年龄8.9岁。平均体重14.3千克。76例（91.6%）冠状动脉解剖结构正常，7例（8.4%）患者存在冠状动脉异常。在冠状动脉异常患者中，最常见的是单支冠状动脉起源，共4例（57.14%）。3例（42.86%）左前降支起源于右冠状动脉。
法洛四联症患者中8.4%存在冠状动脉异常。单支冠状动脉异常是最常见的异常类型。
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