Choi Nak Hyun, Piccininni Jenna, Pollaro Michael, Law Sabrina, Brachio Sandhya, Levey Allison
Division of Pediatric Cardiology, Morgan Stanley Children's Hospital of NewYork-Presbyterian, Columbia University Medical Center, New York, United States.
Division of Neonatology, Morgan Stanley Children's Hospital of NewYork-Presbyterian, Columbia University Medical Center, New York, United States.
J Pediatr Intensive Care. 2021 Mar;10(1):79-82. doi: 10.1055/s-0040-1709997. Epub 2020 Apr 29.
Congenital coronary artery anomalies are extremely rare causes of early cardiac failure. Several cardiac lesions are associated with coronary anomalies such as pulmonary atresia with intact ventricular septum. Isolated coronary ostial atresia is extremely rare and described in only a few published case reports. To our knowledge, there were two reports of bilateral coronary ostial atresia in which the entire coronary arterial system originated from the right ventricle without other intracardiac defects. We present a case of a full-term infant who presented with severely depressed biventricular function secondary to bilateral coronary ostial atresia.
先天性冠状动脉异常是早期心力衰竭极为罕见的病因。几种心脏病变与冠状动脉异常相关,如室间隔完整的肺动脉闭锁。孤立性冠状动脉开口处闭锁极为罕见,仅有少数已发表的病例报告对此进行了描述。据我们所知,有两份关于双侧冠状动脉开口处闭锁的报告,其中整个冠状动脉系统起源于右心室且无其他心内缺陷。我们报告一例足月婴儿,因双侧冠状动脉开口处闭锁继发严重的双心室功能不全。