Pediatric and Congenital Cardiology, Timone Hospital, Assistance Publique - Hôpitaux de Marseille, Marseille, France.
Pediatric Department, Nimes University Hospital, Nimes, France.
Cardiol Young. 2021 Oct;31(10):1709-1711. doi: 10.1017/S104795112100144X. Epub 2021 Apr 27.
Coronary abnormalities are frequent in pulmonary atresia and intact ventricular septum, mainly in patients with a very diminutive right ventricle. They severely impact on early and late prognosis. We describe an 8-year-old girl who presented with myocardial ischaemia, late after uneventful Fontan completion. The importance of precise delineation of the coronary anatomy upon initial assessment and during follow-up is emphasised.
冠状动脉异常在肺动脉闭锁伴完整室间隔中很常见,主要发生在右心室非常小的患者中。这些异常严重影响早期和晚期预后。我们描述了一位 8 岁女孩,Fontan 手术后无并发症,晚期出现心肌缺血。强调了在初始评估和随访期间精确描绘冠状动脉解剖结构的重要性。