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主肺动脉窗合并右冠状动脉起源于肺动脉干异常。

Aortopulmonary window with anomalous origin of the right coronary artery from the pulmonary trunk.

作者信息

Atalay Atakan, Soran Turkcan Başak, Kulahcioglu Emre, Eris Deniz, Ece İbrahim, Aydın Hakan

机构信息

Ankara City Hospital, Department of Pediatric Cardiovascular Surgery, Ankara, Turkey.

Isparta City Hospital, Department of Pediatric Cardiology, Isparta, Turkey.

出版信息

Cardiol Young. 2021 May;31(5):838-841. doi: 10.1017/S1047951120004783. Epub 2021 Jan 11.

DOI:10.1017/S1047951120004783
PMID:33423708
Abstract

Anomalous origin of coronary artery originating from the pulmonary artery in conjunction with the aorticopulmonary window (APW) is a rare but a significant anomaly in the era of congenital cardiac diseases. The occurrence of anomalous origin of the right coronary artery from the pulmonary artery among the associated anomalies is less than 5%. The severity of the clinical condition of these patients depends on the degree of left-right shunt and compromise of the pulmonary blood flow. We report surgical management of a case of a 45-day-old infant with APW, ventricular septal defect, and anomalous origin of coronary artery originated from the pulmonary artery.

摘要

冠状动脉起源于肺动脉并合并主肺动脉窗(APW)是先天性心脏病时代一种罕见但严重的异常情况。在相关异常中,右冠状动脉起源于肺动脉的发生率低于5%。这些患者临床状况的严重程度取决于左右分流的程度以及肺血流的受损情况。我们报告了一例45天大婴儿的手术治疗情况,该婴儿患有主肺动脉窗、室间隔缺损以及冠状动脉起源于肺动脉的异常情况。

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引用本文的文献

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A case of anomalous right coronary artery from the pulmonary trunk, aortopulmonary window, and interrupted aortic arch type a in a term neonate.一名足月儿患有起源于肺动脉干的异常右冠状动脉、主肺动脉窗及A型主动脉弓中断。
Ann Pediatr Cardiol. 2025 Jan-Feb;18(1):64-67. doi: 10.4103/apc.apc_171_24. Epub 2025 Jul 14.
2
ARCAPA in Pulmonary Atresia, Ventricular Septal Defect, and Major Aortopulmonary Collateral Arteries.肺动脉闭锁、室间隔缺损及主要主肺动脉侧支动脉中的先天性矫正型大动脉转位
JACC Case Rep. 2024 Apr 5;29(10):102318. doi: 10.1016/j.jaccas.2024.102318. eCollection 2024 May 15.
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Cardiac imaging findings in anomalous origin of the coronary arteries from the pulmonary artery; narrative review of the literature.
肺动脉起源的冠状动脉异常的心脏影像学表现;文献综述
Echo Res Pract. 2022 Dec 6;9(1):12. doi: 10.1186/s44156-022-00012-7.