• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

最初通过超声心动图和多排螺旋计算机断层扫描冠状动脉造影术发现的左冠状动脉起源于肺动脉异常。

Anomalous origin of the left coronary artery from the pulmonary artery initially visualized by echocardiography and multidetector computed tomography coronary angiography.

作者信息

Kim Byung-Ho, Park Yon Woong, Hong Seung-Pyo, Son Ja-Yung, Lee Young-Soo, Lee Jin-Bae, Ryu Jae-Kean, Choi Ji-Yong, Kim Kee-Sik, Chang Sung-Guk

机构信息

Division of Cardiology, Department of Internal Medicine, Daegu Catholic University Medical Center, Daegu, Korea.

出版信息

J Cardiovasc Ultrasound. 2012 Dec;20(4):197-200. doi: 10.4250/jcu.2012.20.4.197. Epub 2012 Dec 31.

DOI:10.4250/jcu.2012.20.4.197
PMID:23346290
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3542514/
Abstract

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly associated with very high mortality during infancy. We report a 35-year-old female patient with ALCAPA initially visualized by echocardiography. She visited outpatient department presenting with intermittent chest discomfort for 3 weeks. Transthoracic echocardiography showed left coronary artery arising from main pulmonary artery and abundant septal color flow Doppler signals. Transesophageal echocardiography clearly revealed markedly dilated and tortuous right coronary artery showing windsock appearance. Multidetector computed tomography and coronary angiography enabled visualization of anomalous left coronary artery originating from left side of main pulmonary trunk. After treadmill exercise test which showed ST-segment depression presenting inducible myocardial ischemia, patient underwent direct re-implantation of the anomalous coronary artery into the aorta without any complication.

摘要

左冠状动脉起源于肺动脉（ALCAPA）是一种罕见的先天性异常，与婴儿期极高的死亡率相关。我们报告了一名35岁的女性ALCAPA患者，最初通过超声心动图发现。她因间歇性胸部不适3周前来门诊就诊。经胸超声心动图显示左冠状动脉起源于主肺动脉，并有丰富的室间隔彩色血流多普勒信号。经食管超声心动图清晰地显示右冠状动脉明显扩张、迂曲，呈风袋样外观。多排螺旋计算机断层扫描和冠状动脉造影能够显示起源于主肺动脉干左侧的异常左冠状动脉。平板运动试验显示ST段压低，提示诱发性心肌缺血，患者随后接受了异常冠状动脉直接重新植入主动脉的手术，无任何并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d24c/3542514/36b454171634/jcu-20-197-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d24c/3542514/f4f1467a89ed/jcu-20-197-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d24c/3542514/a46aefd1438c/jcu-20-197-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d24c/3542514/e3ad321f09a8/jcu-20-197-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d24c/3542514/36b454171634/jcu-20-197-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d24c/3542514/f4f1467a89ed/jcu-20-197-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d24c/3542514/a46aefd1438c/jcu-20-197-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d24c/3542514/e3ad321f09a8/jcu-20-197-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d24c/3542514/36b454171634/jcu-20-197-g004.jpg

相似文献

1
Anomalous origin of the left coronary artery from the pulmonary artery initially visualized by echocardiography and multidetector computed tomography coronary angiography.最初通过超声心动图和多排螺旋计算机断层扫描冠状动脉造影术发现的左冠状动脉起源于肺动脉异常。
J Cardiovasc Ultrasound. 2012 Dec;20(4):197-200. doi: 10.4250/jcu.2012.20.4.197. Epub 2012 Dec 31.
2
Case report: A rare case of anomalous origin of the left coronary artery from the pulmonary artery accompanied with unilateral absence of pulmonary artery in an adult patient.病例报告：一名成年患者出现罕见的左冠状动脉起源于肺动脉并伴有单侧肺动脉缺如的情况。
Front Cardiovasc Med. 2023 Apr 20;10:1160893. doi: 10.3389/fcvm.2023.1160893. eCollection 2023.
3
Anatomical and physiological assessment of a symptomatic anomalous origin of the right coronary artery from the pulmonary artery by noninvasive imaging examinations.通过无创成像检查对症状性右冠状动脉起源于肺动脉的解剖学和生理学评估。
J Cardiol Cases. 2020 Jun 4;22(2):72-76. doi: 10.1016/j.jccase.2020.05.002. eCollection 2020 Aug.
4
Usefulness of multidetector-row computed tomography in diagnosis of anomalous origin of left coronary artery arising from the pulmonary artery.多层螺旋 CT 在诊断起源于肺动脉的左冠状动脉异常中的应用价值。
J Chin Med Assoc. 2010 Sep;73(9):492-5. doi: 10.1016/S1726-4901(10)70105-2.
5
Anomalous origin of the left coronary artery from the pulmonary artery in children: diagnostic use of multidetector computed tomography.儿童左冠状动脉起源于肺动脉异常：多排螺旋计算机断层扫描的诊断应用
Pediatr Radiol. 2016 Sep;46(10):1392-8. doi: 10.1007/s00247-016-3635-6. Epub 2016 May 30.
6
Anomalous origin of left main coronary artery from pulmonary artery: Patient characteristics and imaging associations on multidetector computed tomography angiography.左主干冠状动脉发自肺动脉的异常起源：多排 CT 血管造影的患者特征和影像学关联。
J Card Surg. 2021 Nov;36(11):4043-4053. doi: 10.1111/jocs.15926. Epub 2021 Aug 19.
7
Left anterior descending coronary artery originating from the pulmonary artery: a rarity suspected during echocardiography.左冠状动脉前降支起源于肺动脉：一种在超声心动图检查时被怀疑的罕见情况。
Turk Kardiyol Dern Ars. 2008 Apr;36(3):181-3.
8
Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery: Diagnosis with CT Angiography.左冠状动脉起源于肺动脉异常：CT血管造影诊断
J Clin Imaging Sci. 2013 Jan 30;3:4. doi: 10.4103/2156-7514.106618. Print 2013.
9
The role of transesophageal echocardiography in identifying anomalous coronary arteries.经食管超声心动图在识别冠状动脉异常中的作用。
Circulation. 1993 Dec;88(6):2532-40. doi: 10.1161/01.cir.88.6.2532.
10
Two congenital coronary abnormalities affecting heart function: anomalous origin of the left coronary artery from the pulmonary artery and congenital left main coronary artery atresia.两种影响心脏功能的先天性冠状动脉异常：左冠状动脉异常起源于肺动脉和先天性左主干冠状动脉闭锁。
Chin Med J (Engl). 2014;127(21):3724-31.

引用本文的文献

1
The diagnostic value of dynamic volume computed tomography angiography in children with anomalous origin of the left coronary artery from the pulmonary artery.动态容积计算机断层血管造影对左冠状动脉起源于肺动脉患儿的诊断价值
Am J Transl Res. 2021 Sep 15;13(9):10348-10355. eCollection 2021.

本文引用的文献

1
Two Cases of an Abnormal Coronary Artery of the Heart Arising from the Pulmonary Artery: With some Remarks upon the Effect of this Anomaly in producing Cirsoid Dilatation of the Vessels.两例起源于肺动脉的心脏异常冠状动脉：兼论此异常在导致血管蔓状扩张中的作用
J Anat Physiol. 1885 Oct;20(Pt 1):26-9.
2
Anomalous right coronary artery arising from the pulmonary artery: a report of 7 cases and a review of the literature.起源于肺动脉的右冠状动脉异常：7例报告并文献复习
Am Heart J. 2006 Nov;152(5):1004.e9-17. doi: 10.1016/j.ahj.2006.07.023.
3
Anomalous origin of left coronary artery from pulmonary artery in adults.
成人左冠状动脉起源于肺动脉异常
Asian Cardiovasc Thorac Ann. 2006 Feb;14(1):38-42. doi: 10.1177/021849230601400110.
4
Anomalous origin of the left coronary artery from the pulmonary artery in an elderly patient visualised by three dimensional multidetector CT coronary angiography.三维多排CT冠状动脉造影显示老年患者左冠状动脉起源于肺动脉异常。
Heart. 2005 Jul;91(7):947. doi: 10.1136/hrt.2004.051292.
5
Detection of septal coronary collaterals by color flow Doppler mapping is a marker for anomalous origin of a coronary artery from the pulmonary artery.通过彩色多普勒血流成像检测室间隔冠状动脉侧支循环是冠状动脉起源于肺动脉异常的一个标志。
J Am Soc Echocardiogr. 2002 Mar;15(3):259-63. doi: 10.1067/mje.2002.115658.
6
Two-dimensional echocardiographic visualization of the left coronary artery in anomalous origin of the left coronary artery from the pulmonary artery. Pre- and postoperative studies.二维超声心动图对左冠状动脉起源于肺动脉的左冠状动脉异常情况的可视化。术前和术后研究。
Circulation. 1981 Mar;63(3):698-704. doi: 10.1161/01.cir.63.3.698.