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肺动脉环扎术作为法洛四联症根治术后左冠状动脉异常起源于肺动脉修复后心室恢复的辅助治疗:病例报告。

Pulmonary artery banding as adjunct therapy for ventricular recovery after anomalous left coronary artery from the pulmonary artery repair: a case report.

机构信息

Department of Pediatrics, Ghent University Hospital, Ghent, Belgium.

Department of Pediatrics, Pediatric Cardiology, Ghent University Hospital, Ghent, Belgium.

出版信息

Eur J Cardiothorac Surg. 2022 Sep 2;62(4). doi: 10.1093/ejcts/ezac427.

Abstract

Anomalous left coronary artery from the pulmonary artery is a rare congenital coronary anomaly commonly associated with severe but reversible left ventricular dysfunction. We present an anomalous left coronary artery from the pulmonary artery case of persisting left ventricular failure with inability to wean off the ventilator and inotropes after successful coronary reimplantation, in whom pulmonary artery banding enhanced myocardial recovery.

摘要

肺动脉发自异常左冠状动脉是一种罕见的先天性冠状动脉异常,常伴有严重但可逆转的左心室功能障碍。我们报告了一例异常左冠状动脉发自肺动脉的病例,该患者在成功进行冠状动脉再植入后仍存在左心室衰竭,无法脱离呼吸机和正性肌力药物,而肺动脉带缩术增强了心肌的恢复。

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