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病例报告：大动脉转位合并新型冠状动脉解剖结构的新生儿围手术期决策挑战

Case Report: Challenging Perioperative Decision-Making in a Neonate With Transposition of Great Arteries and Novel Coronary Anatomy.

作者信息

Chegondi Madhuradhar, Ricci Marco, Ashwath Ravi C

机构信息

Division of Critical Care Medicine, Stead Family Children's Hospital & Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, IA, United States.

Division of Pediatric Cardiac Surgery, Stead Family Children's Hospital, Iowa City, IA, United States.

出版信息

Front Pediatr. 2022 Jul 6;10:900142. doi: 10.3389/fped.2022.900142. eCollection 2022.

DOI:10.3389/fped.2022.900142
PMID:35874587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9298846/
Abstract

Transposition of great arteries (d-TGA) is often associated with various coronary artery (CA) patterns. These anomalous patterns can cause variable clinical symptoms of coronary ischemia including sudden death. CA pattern is one of the major determinants of outcome in TGA postoperatively. An advanced cardiac imaging and a multidisciplinary care approach are essential for a favorable outcome. Here, we describe a novel CA origin pattern in a neonate with d-TGA, who developed myocardial ischemia and required a coronary unroofing procedure for a full recovery.

摘要

大动脉转位（d-TGA）常与多种冠状动脉（CA）形态相关。这些异常形态可导致包括猝死在内的冠状动脉缺血的不同临床症状。CA形态是d-TGA术后预后的主要决定因素之一。先进的心脏成像和多学科护理方法对于取得良好预后至关重要。在此，我们描述了一名患有d-TGA的新生儿中一种新的CA起源形态，该患儿发生了心肌缺血，需要进行冠状动脉开窗术才能完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21d/9298846/455b243221f6/fped-10-900142-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21d/9298846/1ff2721e4d78/fped-10-900142-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21d/9298846/77288b5602ee/fped-10-900142-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21d/9298846/1c8cd3e47d4b/fped-10-900142-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21d/9298846/455b243221f6/fped-10-900142-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21d/9298846/1ff2721e4d78/fped-10-900142-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21d/9298846/77288b5602ee/fped-10-900142-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21d/9298846/1c8cd3e47d4b/fped-10-900142-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21d/9298846/455b243221f6/fped-10-900142-g0004.jpg

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本文引用的文献

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Clinical Outcome of Patients with Transposition of the Great Arteries and Intramural Coronary Artery.大动脉转位伴冠状动脉畸形患者的临床转归。
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