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12 岁男性冠状动脉异常起源于主动脉:病例报告。

Anomalous aortic origin of the coronary arteries in a 12-year-old male: a case report.

机构信息

Anesthesia Operation Center of West China Hospital/West China School of Nursing, Sichuan University, Guoxuexiang 37th, Chengdu, 610041, Sichuan, People's Republic of China.

Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxuexiang 37th, Chengdu, 610041, Sichuan, People's Republic of China.

出版信息

BMC Surg. 2020 Dec 2;20(1):311. doi: 10.1186/s12893-020-00984-5.

DOI:10.1186/s12893-020-00984-5
PMID:33267807
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7709436/
Abstract

BACKGROUND

Anomalous aortic origin of the coronary artery (AAOCA) is a rare congenital cardiac disease that can cause sudden cardiac death. This condition may be corrected with surgery. Among the different surgical techniques used to correct this malformation, the most common are unroofing and lateral pulmonary translocation.

CASE PRESENTATION

Herein, we present a multimodal imaging approach to identifying AAOCA in a 12-year-old male. We also successfully adopted a new operative method, neo-ostium creation combined with lateral pulmonary translocation to correct AAOCA. The detailed imaging and intraoperative data has not been reported in the literature.

CONCLUSIONS

Although several surgical methods exist to reverse the complications of AAOCA, we offer an innovative surgical technique that is easier, faster, and effective.

摘要

背景

冠状动脉异常起源(AAOCA)是一种罕见的先天性心脏病,可导致心源性猝死。这种情况可以通过手术矫正。在用于矫正这种畸形的不同手术技术中,最常见的是主动脉窦开窗术和肺动脉外侧移位术。

病例介绍

本文介绍了一种多模态成像方法,用于识别 12 岁男性的 AAOCA。我们还成功采用了一种新的手术方法,即新开口创建联合肺动脉外侧移位术来矫正 AAOCA。详细的影像学和术中数据尚未在文献中报道。

结论

尽管有几种手术方法可以逆转 AAOCA 的并发症,但我们提供了一种更简单、更快速、更有效的创新手术技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b64/7709436/4374f7aa9fb1/12893_2020_984_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b64/7709436/5e7c56d33ae8/12893_2020_984_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b64/7709436/d4ad178362aa/12893_2020_984_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b64/7709436/460d9cc759be/12893_2020_984_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b64/7709436/6574aaa67f15/12893_2020_984_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b64/7709436/4374f7aa9fb1/12893_2020_984_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b64/7709436/5e7c56d33ae8/12893_2020_984_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b64/7709436/d4ad178362aa/12893_2020_984_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b64/7709436/460d9cc759be/12893_2020_984_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b64/7709436/6574aaa67f15/12893_2020_984_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b64/7709436/4374f7aa9fb1/12893_2020_984_Fig5_HTML.jpg

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本文引用的文献

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Features associated with myocardial ischemia in anomalous aortic origin of a coronary artery: A Congenital Heart Surgeons' Society study.异常冠状动脉起源于主动脉与心肌缺血相关因素:先天性心脏外科医师学会研究。
J Thorac Cardiovasc Surg. 2019 Sep;158(3):822-834.e3. doi: 10.1016/j.jtcvs.2019.02.122. Epub 2019 Mar 28.
2
Complete unroofing of the intramural coronary artery for anomalous aortic origin of a coronary artery: The role of commissural resuspension?完全去除腔内冠状动脉用于冠状动脉异常起源于主动脉:叉状悬带的作用?
J Thorac Cardiovasc Surg. 2019 Jul;158(1):208-217.e2. doi: 10.1016/j.jtcvs.2019.01.140. Epub 2019 Mar 2.
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Anomalous Aortic Origin of the Coronary Arteries: A Novel Unroofing Technique in an Adult Cohort.
冠状动脉异常起源:成人队列中的一种新型开窗技术。
Ann Thorac Surg. 2019 Mar;107(3):823-828. doi: 10.1016/j.athoracsur.2018.08.036. Epub 2018 Oct 9.
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Anatomic types of anomalous aortic origin of a coronary artery: A pictorial summary.冠状动脉异常主动脉起源的解剖类型:图文概述。
Congenit Heart Dis. 2017 Sep;12(5):603-606. doi: 10.1111/chd.12518. Epub 2017 Jul 24.
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Anomalous Aortic Origin of a Coronary Artery From the Inappropriate Sinus of Valsalva.冠状动脉异常起源于瓦尔萨尔瓦窦不合适的窦部。
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