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计划进行肺动脉起源的左冠状动脉异常修复术的婴儿的麻醉管理。

Anaesthetic management of infants posted for repair of anomalous origin of left coronary artery from pulmonary artery.

作者信息

Patra Chitralekha, Singh Naveen G, Manjunatha N, Bhatt Anand

机构信息

Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.

出版信息

Indian J Anaesth. 2017 Aug;61(8):676-678. doi: 10.4103/ija.IJA_212_17.

Abstract

First described in 1908, anomalous origin of left coronary artery from pulmonary artery is a very rare congenital anomaly. Here, the right coronary artery is usually enlarged and has a normal origin from aorta. Numerous collaterals connect the two coronary arteries over right ventricular outflow tract or interventricular septum. It is one of the most common causes of myocardial ischaemia and infarction in children.

摘要

左冠状动脉起源于肺动脉这一异常情况于1908年首次被描述,是一种非常罕见的先天性畸形。在此情况下,右冠状动脉通常会增粗,且起源于主动脉正常。大量侧支血管在右心室流出道或室间隔处连接两条冠状动脉。它是儿童心肌缺血和梗死最常见的原因之一。

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