Department of Pediatric Cardiology, Centre Chirurgical Marie Lannelongue, Le Plessis-Robinson, France.
Pediatr Radiol. 2011 Aug;41(8):1069-72. doi: 10.1007/s00247-011-2068-5. Epub 2011 Apr 13.
We report the case of a newborn with pulmonary atresia with intact ventricular septum and right ventricle-dependent coronary circulation. He died several weeks after a Blalock-Taussig procedure because of a progressive stenosis of the main coronary artery. We present echocardiographic and dual-source CT images of the stenosis, with autopsy correlation. To our knowledge, CT images of this quality have never been reported in a newborn. This case illustrates the extreme difficulty in prognosticating the outcome for these patients and underlines the need for a detailed neonatal coronary mapping to assess right ventricle-dependent coronary circulation.
我们报告了一例患有肺动脉闭锁伴完整室间隔和右心室依赖型冠状动脉循环的新生儿病例。他在接受了 Blalock-Taussig 手术后数周后因主冠状动脉进行性狭窄而死亡。我们呈现了狭窄的超声心动图和双源 CT 图像，并与尸检结果进行了对比。据我们所知，从未有过如此高质量的 CT 图像在新生儿中报道过。这个病例说明了对这些患者进行预后评估的极端困难，并强调了需要进行详细的新生儿冠状动脉成像以评估右心室依赖型冠状动脉循环。
