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室间隔缺损手术闭合后体外循环脱机困难：一例罕见病例。

Difficult weaning from cardiopulmonary bypass after surgical VSD closure: An unusual rare case.

作者信息

Mahdavi Mohammad, Asadian Sanaz, Shahzadi Hossein, Daliri Mahdi, Rezaeian Nahid, Toloueitabar Yaser

机构信息

Rajaie Cardiovascular Medical and Research Center Iran University of Medical Sciences Tehran Iran.

Department of Radiology Rajaie Cardiovascular Medical and Research Center Iran University of Medical Sciences Tehran Iran.

出版信息

Clin Case Rep. 2020 Nov 6;9(1):144-147. doi: 10.1002/ccr3.3486. eCollection 2021 Jan.

DOI:10.1002/ccr3.3486
PMID:33489150
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7813056/
Abstract

The connection of the left coronary artery to the pulmonary artery may be asymptomatic due to high pulmonary vascular resistance in the context of left-to-right shunts. Before the repair of the mentioned anomalies, coronary anatomy must be defined.

摘要

在左向右分流的情况下，由于肺血管阻力高，左冠状动脉与肺动脉的连接可能无症状。在修复上述异常之前，必须明确冠状动脉解剖结构。

相似文献

1
Difficult weaning from cardiopulmonary bypass after surgical VSD closure: An unusual rare case.室间隔缺损手术闭合后体外循环脱机困难：一例罕见病例。
Clin Case Rep. 2020 Nov 6;9(1):144-147. doi: 10.1002/ccr3.3486. eCollection 2021 Jan.
2
What other anomalies? Failure to wean post ventricular septal defect repair secondary to anomalous origin of the left coronary artery from the pulmonary artery.还有其他异常情况吗？室间隔缺损修复术后因左冠状动脉起源于肺动脉异常而无法脱机。
Paediatr Anaesth. 2012 May;22(5):487-9. doi: 10.1111/j.1460-9592.2011.03791.x. Epub 2012 Jan 9.
3
Surgical management of anomalous origin of coronary artery from pulmonary artery.肺动脉起源异常冠状动脉的外科治疗
Indian J Thorac Cardiovasc Surg. 2021 Jan;37(Suppl 1):131-143. doi: 10.1007/s12055-021-01147-8. Epub 2021 Jan 28.
4
Anomalous origin of the left coronary artery from the pulmonary artery associated with severe left ventricular dysfunction: results in normothermia.左冠状动脉起源于肺动脉伴严重左心室功能障碍：常温下的结果。
Ann Thorac Surg. 2010 Sep;90(3):856-60. doi: 10.1016/j.athoracsur.2010.06.002.
5
Left ventricular assist device improves survival in children with left ventricular dysfunction after repair of anomalous origin of the left coronary artery from the pulmonary artery.左心室辅助装置可提高左冠状动脉起源于肺动脉矫治术后左心室功能不全患儿的生存率。
Ann Thorac Surg. 1999 Jan;67(1):169-72. doi: 10.1016/s0003-4975(98)01309-5.
6
[Echocardiographic features of patients with anomalous left coronary artery from the pulmonary artery].[肺动脉起源异常左冠状动脉患者的超声心动图特征]
Zhonghua Xin Xue Guan Bing Za Zhi. 2013 Apr;41(4):297-300.
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Left pulmonary artery originating from the right coronary artery in a patient with pulmonary atresia and ventricular septal defect.一名患有肺动脉闭锁和室间隔缺损的患者，左肺动脉起源于右冠状动脉。
Ann Thorac Surg. 2015 Apr;99(4):e95-6. doi: 10.1016/j.athoracsur.2014.12.086.
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Anomalous origin of the left coronary artery from the pulmonary artery with patent ductus arteriosus: a must to recognize entity.左冠状动脉起源于肺动脉伴动脉导管未闭：一种必须认识的疾病实体。
Eur J Echocardiogr. 2010 Sep;11(8):E31. doi: 10.1093/ejechocard/jeq039. Epub 2010 Mar 22.
9
Outcomes of anomalous left coronary artery from pulmonary artery repair: beyond normal function.肺动脉起源异常性左冠状动脉修复的结果：超越正常功能。
Ann Thorac Surg. 2015 Apr;99(4):1342-7. doi: 10.1016/j.athoracsur.2014.12.035. Epub 2015 Feb 26.
10
Anomalous origin of left coronary artery from pulmonary artery (ALCAPA): A case report.左冠状动脉起源于肺动脉（ALCAPA）异常：一例报告。
Radiol Case Rep. 2022 Jul 6;17(9):3432-3435. doi: 10.1016/j.radcr.2022.06.017. eCollection 2022 Sep.

引用本文的文献

1
ALCAPA in Children with Complex Congenital Heart Disease: A Multicenter Study.复杂先天性心脏病患儿的左冠状动脉起源于肺动脉：一项多中心研究。
Pediatr Cardiol. 2025 Mar;46(3):610-620. doi: 10.1007/s00246-024-03473-1. Epub 2024 Apr 3.

本文引用的文献

1
Infant cardiac CT angiography with 64-slice and 256-slice CT: comparison of radiation dose and image quality using a pediatric phantom.64 层和 256 层 CT 用于婴儿心脏 CT 血管造影：使用儿科体模比较辐射剂量和图像质量。
PLoS One. 2012;7(11):e49609. doi: 10.1371/journal.pone.0049609. Epub 2012 Nov 21.
2
Anomalous left coronary artery from the pulmonary artery with a large patent ductus arteriosus: aversion of a catastrophe.起源于肺动脉的异常左冠状动脉伴巨大动脉导管未闭：避免一场灾难。
Congenit Heart Dis. 2013 Nov-Dec;8(6):E168-73. doi: 10.1111/chd.12016. Epub 2012 Oct 25.
3
What other anomalies? Failure to wean post ventricular septal defect repair secondary to anomalous origin of the left coronary artery from the pulmonary artery.
还有其他异常情况吗？室间隔缺损修复术后因左冠状动脉起源于肺动脉异常而无法脱机。
Paediatr Anaesth. 2012 May;22(5):487-9. doi: 10.1111/j.1460-9592.2011.03791.x. Epub 2012 Jan 9.
4
Occult anomalous origin of the left coronary artery from the pulmonary artery with ventricular septal defect.左冠状动脉起源于肺动脉伴室间隔缺损的隐匿性异常。
Ann Pediatr Cardiol. 2011 Jan;4(1):62-4. doi: 10.4103/0974-2069.79627.
5
Anomalous origin of the left coronary artery from the pulmonary artery with patent ductus arteriosus: a must to recognize entity.左冠状动脉起源于肺动脉伴动脉导管未闭：一种必须认识的疾病实体。
Eur J Echocardiogr. 2010 Sep;11(8):E31. doi: 10.1093/ejechocard/jeq039. Epub 2010 Mar 22.
6
Anomalous origin of left coronary artery from pulmonary artery in adults.成人左冠状动脉起源于肺动脉异常
Asian Cardiovasc Thorac Ann. 2006 Feb;14(1):38-42. doi: 10.1177/021849230601400110.
7
Anomalous origin of the left coronary artery from the pulmonary trunk. Its clinical spectrum, pathology, and pathophysiology, based on a review of 140 cases with seven further cases.左冠状动脉起源于肺动脉干异常。基于对140例病例及另外7例病例的回顾，阐述其临床谱、病理及病理生理学。
Circulation. 1968 Aug;38(2):403-25. doi: 10.1161/01.cir.38.2.403.
8
Ductus arteriosus associated with an anomalous left coronary artery arising from the pulmonary artery: catastrophe after duct ligation.动脉导管未闭合并源自肺动脉的异常左冠状动脉：动脉导管结扎后的灾难性后果。
Br Heart J. 1986 Apr;55(4):415-7. doi: 10.1136/hrt.55.4.415.