Gatlin Scott, Kalynych Anna, Sallee Denver, Campbell Robert
Department of Cardiology, Sibley Heart Center, Children's Healthcare of Atlanta, Emory University, Atlanta, GA, USA.
Congenit Heart Dis. 2011 Jul-Aug;6(4):384-8. doi: 10.1111/j.1747-0803.2011.00491.x. Epub 2011 Apr 1.
Long-term follow-up and testing for patients who have undergone congenital heart surgery is an evolving field. We report the case of a 17-year-old patient who had an arterial switch operation as an infant for d-transposition of the great vessels and suffered sudden cardiac arrest while participating in a cross-country event. Previous evaluations, including a cardiac catheterization and stress testing, did not indicate any identifiable abnormalities. After the arrest, a computed tomography angiogram of his chest showed an abnormal takeoff of the reimplanted left coronary artery.
对接受先天性心脏手术的患者进行长期随访和检测是一个不断发展的领域。我们报告了一例17岁患者的病例，该患者婴儿期因大动脉d型转位接受了动脉调转手术，在参加越野赛事时发生心脏骤停。此前的评估，包括心脏导管插入术和负荷试验，均未显示任何可识别的异常。心脏骤停后，他的胸部计算机断层血管造影显示再植入的左冠状动脉起始异常。
