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一名儿童因肺动脉起源的异常左冠状动脉导致复发性室性心动过速，通过血运重建和标测引导的心内膜切除术进行治疗。

Recurrent ventricular tachycardia associated with anomalous left coronary artery from the pulmonary artery in a child managed by revascularisation and map-guided endocardial resection.

作者信息

McComb J M, Vincent R, Hilton C J

机构信息

Regional Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne.

出版信息

Br Heart J. 1989 Nov;62(5):396-9. doi: 10.1136/hrt.62.5.396.

DOI:10.1136/hrt.62.5.396
PMID:2590593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1224840/
Abstract

A 13 year old girl with recurrent ventricular tachycardia that occurred in association with anomalous origin of the left coronary artery from the pulmonary artery is described. Such an arrhythmia has not been described before. Ligation of the anomalous left coronary artery led to more frequent episodes of ventricular tachycardia with evidence of myocardial ischaemia. She was successfully managed by revascularisation (to establish a two coronary system) and map-guided left ventricular aneurysmectomy.

摘要

本文描述了一名13岁患有复发性室性心动过速的女孩，该室性心动过速与左冠状动脉起源于肺动脉异常有关。此前尚未有过这种心律失常的描述。结扎异常的左冠状动脉导致室性心动过速发作更频繁，并伴有心肌缺血的证据。通过血运重建（建立双冠状动脉系统）和标测引导下的左心室室壁瘤切除术，她得到了成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e07/1224840/52ffc70255a5/brheartj00071-0069-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e07/1224840/ad55acc9dfef/brheartj00071-0069-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e07/1224840/52ffc70255a5/brheartj00071-0069-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e07/1224840/ad55acc9dfef/brheartj00071-0069-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e07/1224840/52ffc70255a5/brheartj00071-0069-b.jpg

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Recurrent ventricular tachycardia associated with anomalous left coronary artery from the pulmonary artery in a child managed by revascularisation and map-guided endocardial resection.一名儿童因肺动脉起源的异常左冠状动脉导致复发性室性心动过速，通过血运重建和标测引导的心内膜切除术进行治疗。
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引用本文的文献

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Anomalous origin of the left coronary artery presenting in an adult.成人左冠状动脉异常起源
Ulster Med J. 1992 Oct;61(2):175-8.

本文引用的文献

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Anomalous origin of the left coronary artery from the pulmonary artery in an adult.成人左冠状动脉起源于肺动脉异常。
N Engl J Med. 1959 Nov 12;261:993-8. doi: 10.1056/NEJM195911122612003.
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The next 30 years--will the progress continue?未来30年——进步能否持续？
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Anomalous origin of the left coronary artery from the pulmonary trunk. Its clinical spectrum, pathology, and pathophysiology, based on a review of 140 cases with seven further cases.左冠状动脉起源于肺动脉干异常。基于对140例病例及另外7例病例的回顾，阐述其临床谱、病理及病理生理学。
Circulation. 1968 Aug;38(2):403-25. doi: 10.1161/01.cir.38.2.403.
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Coronary artery steal due to an anomalous left coronary artery originating from the pulmonary artery.起源于肺动脉的异常左冠状动脉导致的冠状动脉窃血。
J Thorac Cardiovasc Surg. 1970 Apr;59(4):461-7.
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Left ventricular aneurysmectomy in a 4-month-old infant. Alternative method of treatment of anomalous left coronary artery.4个月大婴儿的左心室动脉瘤切除术。异常左冠状动脉的替代治疗方法。
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