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一名无症状成年人左冠状动脉起源于肺动脉异常

Anomalous origin of the left coronary artery from the pulmonary artery in an asymptomatic adult.

作者信息

Lopes Ricardo, Almeida Pedro Bernardo, Amorim Mário Jorge, Magalhães Domingos, Silva João Carlos, Pinho Paulo, Maciel Maria Júlia

机构信息

Departments of Cardiology Thoracic Surgery, Hospital São João, Porto, Portugal.

出版信息

Congenit Heart Dis. 2011 Jul-Aug;6(4):366-9. doi: 10.1111/j.1747-0803.2010.00474.x. Epub 2011 Mar 10.

Abstract

Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital anomaly with a mortality of 90% in the first year of life, if not surgically corrected. Adult presentation of the anomalous origin of the left coronary artery from the pulmonary artery syndrome is extremely rare but may occur if a well-developed collateral circulation from right coronary artery is present. We present the case of a 22-year-old asymptomatic female with anomalous origin of the left coronary artery from the pulmonary artery.

摘要

左冠状动脉起源于肺动脉是一种罕见的先天性异常,若不进行手术矫正,在出生后第一年的死亡率为90%。左冠状动脉起源于肺动脉综合征的成人表现极为罕见,但如果存在来自右冠状动脉的良好侧支循环,则可能会出现。我们报告一例22岁无症状女性左冠状动脉起源于肺动脉的病例。

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