不明原因的近溺水可揭示儿童 ALCAPA。

Unexplained near-drowning can reveal ALCAPA in children.

机构信息

Department of pediatric cardiology and pediatric cardiac surgery, centre hospitalier universitaire de Nantes, Children's hospital, 38, boulevard Jean-Monnet, 44000 Nantes, France.

Department of pediatric intensive care, centre hospitalier universitaire de Nantes, Children's hospital, 44000 Nantes, France; Department of pediatric intensive care, centre hospitalier universitaire de Nancy, Children's hospital, 54000 Nancy, France.

出版信息

Arch Pediatr. 2021 Apr;28(3):252-254. doi: 10.1016/j.arcped.2020.12.001. Epub 2021 Jan 22.

DOI:10.1016/j.arcped.2020.12.001

PMID:33495076

Abstract

An 11-year-old girl experienced an episode of near-drowning. She was immediately rescued and was defibrillated. Transthoracic echocardiography and coronary computed tomographic angiography confirmed the diagnosis of anomalous left coronary artery from the pulmonary artery (ALCAPA). We report a rare description of this congenital coronary anomaly in a child, revealed after exercise-induced sudden cardiac arrest while swimming.

摘要

一名 11 岁女孩经历了一次近乎溺水的事件。她立即被救起并进行了除颤。经胸超声心动图和冠状动脉计算机断层血管造影术证实诊断为肺动脉起源的左冠状动脉异常（ALCAPA）。我们报告了一例罕见的儿童先天性冠状动脉异常病例，该病例在游泳时因运动引起的心脏骤停后被发现。