一名年轻女孩因起源于右冠状动脉窦的异常左冠状动脉导致心脏骤停。

Cardiac arrest due to aberrant left coronary artery originating from the right sinus of Valsalva in a young girl.

作者信息

Vander Sande J H, Vandermast M F, Amsel B J, Verrelst P A, Walter P J, Bossaert L L

机构信息

Department of Intensive Care, University Hospital of Antwerp, Belgium.

出版信息

Intensive Care Med. 1989;15(2):135-6. doi: 10.1007/BF00295993.

DOI:10.1007/BF00295993

PMID:2715503

Abstract

We report a 14-year-old girl who sustained a syncope followed by cardiac arrest. She was kept alive for three days by full cardiocirculatory support using left and right ventricular assist devices, but subsequently died in multiple organ failure. Autopsy revealed an anomalous origin of the left coronary artery (LCA) from the right sinus of Valsalva (RSV) and a major left anterior wall infarction. A cyclo-ergometric stress test performed two years before having been negative, we discuss its value in preventing sudden death due to coronary anomalies.

摘要

我们报告一名14岁女孩，她先是发生晕厥，随后心脏骤停。通过使用左、右心室辅助装置进行全心肺循环支持，她维持了三天生命，但最终死于多器官功能衰竭。尸检显示左冠状动脉（LCA）起源于右冠窦（RSV）异常，并有大面积左前壁梗死。两年前进行的运动平板试验结果为阴性，我们讨论了其在预防冠状动脉异常导致的猝死方面的价值。