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多层螺旋CT评估一名患有肺动脉闭锁及室间隔完整的新生儿心肌内窦状隙-冠状动脉交通情况。

MDCT evaluation of intramyocardial-sinusoids-coronary artery communications in a neonate with pulmonary atresia and intact ventricular septum.

作者信息

Das Karuna M, Almansoori Taleb M, Momenah Tarek Suliman, Gorkom Klaus Neidl-Van

机构信息

Department of Radiology, College of Medicine and Health Sciences, Al Ain, UAE.

Department of Paediatric Cardiology, Prince Salman Heart Center, King Fahad Medical City, Riyadh, Saudi Arabia.

出版信息

Indian J Radiol Imaging. 2020 Jan-Mar;30(1):77-80. doi: 10.4103/ijri.IJRI_277_19. Epub 2020 Mar 30.

DOI:10.4103/ijri.IJRI_277_19
PMID:32476754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7240892/
Abstract

A patient of tetrology of Fallot with complete atresia of the pulmonary outflow tract with ventriculocoronary connections is presented. MDCT imaging revealed left coronary sinus, with a large fistula draining into the free wall of hypoplastic right ventricular cavity with tortuous channel arising from right ventricular outflow, and communicating with proximal limb of the fistula forming a complete loop suggesting a right ventricle-to - left coronary sinus sinusoid.

摘要

本文介绍了一名患有法洛四联症且肺动脉流出道完全闭锁并伴有心室冠状动脉连接的患者。MDCT成像显示左冠状窦，有一个大的瘘管引流至发育不全的右心室腔的游离壁，瘘管从右心室流出道发出，呈迂曲状，并与瘘管的近端相连形成一个完整的环，提示右心室至左冠状窦的窦状隙。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e295/7240892/c06bf7088a77/IJRI-30-77-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e295/7240892/be1efdd32b08/IJRI-30-77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e295/7240892/7810648947d2/IJRI-30-77-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e295/7240892/63d25798b8d0/IJRI-30-77-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e295/7240892/c06bf7088a77/IJRI-30-77-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e295/7240892/be1efdd32b08/IJRI-30-77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e295/7240892/7810648947d2/IJRI-30-77-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e295/7240892/63d25798b8d0/IJRI-30-77-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e295/7240892/c06bf7088a77/IJRI-30-77-g004.jpg

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MDCT evaluation of intramyocardial-sinusoids-coronary artery communications in a neonate with pulmonary atresia and intact ventricular septum.多层螺旋CT评估一名患有肺动脉闭锁及室间隔完整的新生儿心肌内窦状隙-冠状动脉交通情况。
Indian J Radiol Imaging. 2020 Jan-Mar;30(1):77-80. doi: 10.4103/ijri.IJRI_277_19. Epub 2020 Mar 30.
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本文引用的文献

1
Surgical results for pulmonary atresia with intact ventricular septum: a single-centre 15-year experience and medium-term follow-up.室间隔完整型肺动脉闭锁的手术结果：单中心15年经验及中期随访
Eur J Cardiothorac Surg. 2016 Dec;50(6):1083-1088. doi: 10.1093/ejcts/ezw226. Epub 2016 Jul 1.
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Multiple coronary-cameral fistulae.多发性冠状动脉-心腔瘘
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Coronary artery fistulae.冠状动脉瘘
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4
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Myocardial ischemia in generalized coronary artery-left ventricular microfistulae.全身性冠状动脉-左心室微瘘中的心肌缺血
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6
Congenital coronary artery fistula in infancy and childhood: diagnostic and therapeutic aspects.婴幼儿及儿童先天性冠状动脉瘘：诊断与治疗方面
Thorac Cardiovasc Surg. 1997 Dec;45(6):287-94. doi: 10.1055/s-2007-1013751.
7
Absent proximal coronary arteries associated with pulmonic atresia.与肺动脉闭锁相关的近端冠状动脉缺如。
Am J Cardiol. 1972 Nov 8;30(6):666-9. doi: 10.1016/0002-9149(72)90607-8.
8
Contributions of intramyocardial sinusoids in pulmonary atresia and intact ventricular septum to a right-sided circular shunt.心肌内窦状隙在肺动脉闭锁合并室间隔完整时对右侧循环分流的作用。
Br Heart J. 1974 Nov;36(11):1061-5. doi: 10.1136/hrt.36.11.1061.
9
A case of anomalous right coronary artery to right atrial fistula presenting as atypical aortic insufficiency.一例表现为非典型主动脉瓣关闭不全的右冠状动脉异常至右心房瘘病例。
Am J Cardiol. 1969 Mar;23(3):453-7. doi: 10.1016/0002-9149(69)90527-x.
10
Coronary artery anomalies in 126,595 patients undergoing coronary arteriography.126595例行冠状动脉造影患者的冠状动脉异常情况
Cathet Cardiovasc Diagn. 1990 Sep;21(1):28-40. doi: 10.1002/ccd.1810210110.