表现为扩张型心肌病的左冠状动脉起源于肺动脉异常：一例报告
Anomalous origin of the left coronary artery from the pulmonary artery presenting as dilated cardiomyopathy: a case report.
作者信息
Gribaa Rym, Slim Mehdi, Ben Salem Helmi, Neffati Elyes, Boughzela Essia
机构信息
Department of Cardiology, Sahloul Hospital, Sousse, Tunisia.
出版信息
J Med Case Rep. 2014 May 30;8:170. doi: 10.1186/1752-1947-8-170.
INTRODUCTION
Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital anomaly and one of the causes of myocardial ischemia. The usual clinical course is severe left-sided heart failure and mitral valve insufficiency presenting during the first months of life.
CASE PRESENTATION
We report the case of a 6-month-old Tunisian girl who presented with dilated cardiomyopathy. Echocardiography suspected anomalous origin of the left coronary artery. The definitive diagnosis of anomalous origin of the left coronary artery from the pulmonary artery was reached by multislice computed tomography and coronary angiography.
CONCLUSION
In cases of dilated cardiomyopathy, anomalous origin of the left coronary artery from the pulmonary artery syndrome has to be kept in mind as a surgically correctable cause.
引言
左冠状动脉起源于肺动脉是一种罕见的先天性异常，也是心肌缺血的原因之一。通常的临床病程是在出生后的头几个月出现严重的左侧心力衰竭和二尖瓣关闭不全。
病例报告
我们报告了一名6个月大的突尼斯女孩，她患有扩张型心肌病。超声心动图怀疑左冠状动脉起源异常。通过多层计算机断层扫描和冠状动脉造影确诊为左冠状动脉起源于肺动脉。
结论
在扩张型心肌病的病例中，必须牢记左冠状动脉起源于肺动脉综合征是一种可通过手术矫正的病因。
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