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左冠状动脉起源于肺动脉伴室间隔缺损的隐匿性异常。

Occult anomalous origin of the left coronary artery from the pulmonary artery with ventricular septal defect.

作者信息

Awasthy Neeraj, Marwah Ashutosh, Sharma Rajesh

机构信息

Department of Pediatric Cardiology, Fortis Escorts Heart Institute, Okhla Road, New Delhi - 110 025, India.

出版信息

Ann Pediatr Cardiol. 2011 Jan;4(1):62-4. doi: 10.4103/0974-2069.79627.

DOI:10.4103/0974-2069.79627
PMID:21677809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3104537/
Abstract

Manifestations of anomalous left coronary artery from the pulmonary trunk may be masked in the presence of an associated shunt lesion that prevents fall of pulmonary artery pressures and allows perfusion of the anomalous coronary artery. We present such a patient with a large ventricular septal defect associated with the anomalous coronary artery from the pulmonary artery.

摘要

来自肺动脉的异常左冠状动脉的表现，在存在相关分流病变时可能会被掩盖，这种分流病变可防止肺动脉压力下降，并使异常冠状动脉得以灌注。我们报告了这样一位患者，其患有与源自肺动脉的异常冠状动脉相关的大型室间隔缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693f/3104537/323647aa58ce/APC-4-62-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693f/3104537/9eeb205676b7/APC-4-62-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693f/3104537/3f28bcbbb4f3/APC-4-62-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693f/3104537/323647aa58ce/APC-4-62-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693f/3104537/9eeb205676b7/APC-4-62-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693f/3104537/3f28bcbbb4f3/APC-4-62-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693f/3104537/323647aa58ce/APC-4-62-g003.jpg

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本文引用的文献

1
Anomalous left anterior descending coronary artery from pulmonary artery with ventricular septal defect.起源于肺动脉的异常左前降支冠状动脉合并室间隔缺损。
Ann Thorac Surg. 2007 Mar;83(3):1175-7. doi: 10.1016/j.athoracsur.2006.09.045.
2
Anomalous left coronary artery, ventricular septal defect, and double aortic arch.左冠状动脉异常、室间隔缺损和双主动脉弓。
Ann Thorac Surg. 2005 Jul;80(1):334-6. doi: 10.1016/j.athoracsur.2003.12.050.
3
Congenital Heart Surgery Nomenclature and Database Project: anomalies of the coronary arteries.
先天性心脏手术命名与数据库项目：冠状动脉异常
Ann Thorac Surg. 2000 Apr;69(4 Suppl):S270-97. doi: 10.1016/s0003-4975(99)01248-5.
4
Anomalous origin of the left coronary artery from the pulmonary trunk. Potential for false negative diagnosis with cross sectional echocardiography.左冠状动脉起源于肺动脉干。经胸超声心动图存在假阴性诊断的可能性。
Br Heart J. 1984 Sep;52(3):272-7. doi: 10.1136/hrt.52.3.272.
5
Ductus arteriosus associated with an anomalous left coronary artery arising from the pulmonary artery: catastrophe after duct ligation.动脉导管未闭合并源自肺动脉的异常左冠状动脉：动脉导管结扎后的灾难性后果。
Br Heart J. 1986 Apr;55(4):415-7. doi: 10.1136/hrt.55.4.415.