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18 个月大的小儿患者存在左回旋支冠状动脉与冠状窦之间先天性冠状动静脉瘘，其围术期麻醉管理：罕见病例报告。

Perioperative anesthetic management of an 18-month-old pediatric patient with a congenital coronary fistula between the left circumflex coronary artery and coronary sinus: Report of a rare case.

机构信息

Department of Anesthesiology, Gundersen Health System, La Crosse, Madison, WI, USA.

Department of Anesthesiology, American Family Children's Hospital, Madison, WI, USA.

出版信息

Ann Card Anaesth. 2020 Jul-Sep;23(3):347-350. doi: 10.4103/aca.ACA_127_19.

DOI:10.4103/aca.ACA_127_19
PMID:32687097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7559957/
Abstract

We present a case of an 18-month-old, 8.69 kg, female, who presented with a coronary fistula between the left circumflex coronary artery and coronary sinus (CS) for remote computed tomography (CT) imaging and transcatheter closure. This is the fifth published case report to describe this congenital anomaly and the first to discuss general anesthesia (GA) and the hemodynamic management considerations for the anesthesiologist.

摘要

我们报告了一例 18 个月大、8.69 公斤的女性患者，因远程计算机断层扫描（CT）成像和经导管封堵术而出现左回旋支冠状动脉和冠状窦（CS）之间的冠状瘘。这是第五个描述这种先天性异常的已发表病例报告，也是第一个讨论全身麻醉（GA）和麻醉师对血液动力学管理考虑的病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d0/7559957/4922682dc0e3/ACA-23-347-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d0/7559957/ad0b61fe17e5/ACA-23-347-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d0/7559957/a3bcc723fcfa/ACA-23-347-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d0/7559957/4922682dc0e3/ACA-23-347-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d0/7559957/ad0b61fe17e5/ACA-23-347-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d0/7559957/a3bcc723fcfa/ACA-23-347-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d0/7559957/4922682dc0e3/ACA-23-347-g003.jpg

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1
Perioperative anesthetic management of an 18-month-old pediatric patient with a congenital coronary fistula between the left circumflex coronary artery and coronary sinus: Report of a rare case.18 个月大的小儿患者存在左回旋支冠状动脉与冠状窦之间先天性冠状动静脉瘘，其围术期麻醉管理：罕见病例报告。
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