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成人型左冠状动脉起源于肺动脉(ALCAPA)的表现:超声心动图和CT诊断

Adult presentation of ALCAPA: Echo and CT diagnosis.

作者信息

Kerut Edmund Kenneth, Kogos Philip G, Anderson Jason H, Turner Michael, Ascuitto Robert, Ross-Ascuitto Nancy, Said Sameh M

机构信息

Heart Clinic of Louisiana, Marrero, LA, USA.

Jefferson Radiology Associates, Marrero, LA, USA.

出版信息

Echocardiography. 2018 Jul;35(7):1045-1048. doi: 10.1111/echo.13807. Epub 2018 Jan 21.

DOI:10.1111/echo.13807
PMID:29356089
Abstract

A healthy 20-year-old male presented with aborted sudden death. Both thoracic echocardiography and cardiac computed tomographic angiography demonstrated the characteristic findings of ALCAPA noting a dilated and tortuous right coronary artery, dilated coronary collateral arteries within the interventricular septum or along the surface of the heart, and visualization of the left coronary artery origin from the posterior aspect of the main pulmonary artery. Both imaging modalities demonstrated all three characteristic findings of this rare coronary anomaly and served as complementary imaging studies for surgical correction.

摘要

一名20岁健康男性出现猝死未遂情况。胸部超声心动图和心脏计算机断层血管造影均显示了左冠状动脉起源异常(ALCAPA)的特征性表现,即右冠状动脉扩张迂曲、室间隔内或心脏表面的冠状动脉侧支扩张,以及从主肺动脉后方观察到左冠状动脉起源。两种成像方式均显示了这种罕见冠状动脉异常的所有三个特征性表现,并作为手术矫正的补充性成像研究。

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