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先天性心脏病中的冠状动脉解剖结构。

Coronary artery anatomy in congenital heart disease.

作者信息

Lowry Adam W, Olabiyi Olawale O, Adachi Iki, Moodie Douglas S, Knudson Jarrod D

机构信息

Department of Pediatrics, Division of Cardiology, Lucile Packard Children's Hospital at Stanford University, Palo Alto, CA 94306, USA.

出版信息

Congenit Heart Dis. 2013 May-Jun;8(3):187-202. doi: 10.1111/chd.12067. Epub 2013 Apr 22.

Abstract

Expanded surgical options and improved outcomes for children born with structural heart defects have ushered a greater clinical interest in the normal and abnormal development of the coronary circulation. Anatomic variations of the coronary system may impact surgical candidacy or operative technique during neonatal life, while others may impact long-term clinical management and planning for subsequent interventions. This review aims to characterize coronary artery anatomy in symptomatic congenital heart disease, emphasizing the clinical consequence of these variations and anomalies.

摘要

针对患有结构性心脏缺陷的儿童,手术选择的扩展和预后的改善引发了对冠状动脉循环正常和异常发育的更大临床关注。冠状动脉系统的解剖变异可能会影响新生儿期的手术候选资格或手术技术,而其他变异可能会影响长期临床管理和后续干预计划。本综述旨在描述有症状先天性心脏病中的冠状动脉解剖结构,强调这些变异和异常的临床后果。

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