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主肺动脉窗合并肺动脉扩张致左主干冠状动脉受压的外科治疗。

Surgical management of aortopulmonary window with pulmonary artery dilatation causing left main coronary compression.

机构信息

Department of Cardiothoracic and Vascular Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Cardiol Young. 2021 Oct;31(10):1684-1686. doi: 10.1017/S1047951121001190. Epub 2021 Apr 15.

DOI:10.1017/S1047951121001190
PMID:33853697
Abstract

Aortopulmonary window is a rare congenital heart defect. Left main coronary artery extrinsic compression by an enlarged pulmonary artery is a rare complication and a potential cause for chest pain and sudden cardiac death in patients with pulmonary hypertension. Here, we present the case of a 14-year-old boy with a large aortopulmonary window who was planned for a device closure, but during the procedure, he developed ST-T segment changes while the device was being deployed, and hence the procedure was abandoned. The boy subsequently underwent a successful surgical closure thereafter.

摘要

主肺动脉窗是一种罕见的先天性心脏病。左主干冠状动脉受肺动脉增大的外压是一种罕见的并发症,也是肺动脉高压患者胸痛和心源性猝死的潜在原因。在此,我们报告了 1 例 14 岁大的主肺动脉窗患者,该患者计划行器械封堵治疗,但在操作过程中,当器械展开时出现了 ST-T 段改变,故放弃该操作。随后,该患者成功接受了手术治疗。

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Cardiol Young. 2021 Oct;31(10):1684-1686. doi: 10.1017/S1047951121001190. Epub 2021 Apr 15.
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