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一名左冠状动脉起源于肺动脉的成人患者的冠状动脉血流评估

Coronary Flow Assessment in an Adult with Anomalous Left Coronary Arising from the Pulmonary Artery.

作者信息

Kuramoto Miho, Okada Masako, Arita Yoh, Tanaka Kenji, Marumoto Akira, Kitabayashi Katsukiyo, Ogasawara Nobuyuki

机构信息

Department of Cardiology, Japan Community Healthcare Organization Osaka Hospital, Osaka, Japan.

Department of Clinical Laboratory, Japan Community Healthcare Organization Osaka Hospital, Osaka, Japan.

出版信息

CASE (Phila). 2022 Nov 11;7(2):49-53. doi: 10.1016/j.case.2022.10.002. eCollection 2023 Feb.

DOI:10.1016/j.case.2022.10.002
PMID:36861102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9968913/
Abstract

• ALCAPA can be diagnosed for the first time in older adults. • Collateral coronary blood flow from the RCA leads to RCA dilatation. • Consider ALCAPA with reduced LVEF, bright papillary muscles, MR, and RCA dilatation. • Color and spectral Doppler is useful to assess perioperative coronary arterial flow.

摘要

• 成人也可能首次被诊断出左冠状动脉起源异常。

• 来自右冠状动脉的冠状动脉侧支血流导致右冠状动脉扩张。

• 对于左心室射血分数降低、乳头肌显影、二尖瓣反流和右冠状动脉扩张的情况，应考虑左冠状动脉起源异常。

• 彩色及频谱多普勒有助于评估围手术期冠状动脉血流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/ba904493f056/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/cb14efde5b0e/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/979e66f052a0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/fab616a82cc4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/eaa51c86f316/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/60c97610f291/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/7b23aaa5e34f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/ffb8f3adff08/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/ba904493f056/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/cb14efde5b0e/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/979e66f052a0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/fab616a82cc4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/eaa51c86f316/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/60c97610f291/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/7b23aaa5e34f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/ffb8f3adff08/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049b/9968913/ba904493f056/gr7.jpg

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本文引用的文献

1
Echocardiographic assessment of coronary microvascular dysfunction: Basic concepts, technical aspects, and clinical settings.超声心动图评估冠状动脉微血管功能障碍：基本概念、技术方面和临床环境。
Echocardiography. 2021 Jun;38(6):993-1001. doi: 10.1111/echo.15059. Epub 2021 May 5.
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Late adult presentation of ALCAPA syndrome: need for a new clinical classification? A case report and literature overview.成人晚期表现的左冠状动脉起源于肺动脉综合征：是否需要新的临床分类？一例病例报告及文献综述
Eur Heart J Case Rep. 2020 Nov 30;4(6):1-5. doi: 10.1093/ehjcr/ytaa318. eCollection 2020 Dec.
3
Transthoracic echocardiography features of adult-type anomalous left coronary artery from the pulmonary artery before and after surgery: highlights from observational study in a single center of China.
经胸超声心动图在成人型肺动脉起源异常左冠状动脉术前术后的特征：来自中国单中心观察性研究的重点。
Int J Cardiovasc Imaging. 2020 Aug;36(8):1477-1487. doi: 10.1007/s10554-020-01857-x. Epub 2020 Apr 23.
4
I-BMIPP/Tl dual myocardial SPECT proves the efficacy of surgical treatment for an adult with Bland-White-Garland syndrome.I-BMIPP/Tl双核素心肌单光子发射计算机断层扫描证实了手术治疗对一名患有布兰德-怀特-加兰综合征的成年人的疗效。
J Cardiol Cases. 2019 Oct 24;21(1):39-42. doi: 10.1016/j.jccase.2019.09.015. eCollection 2020 Jan.
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Nicorandil was an Effective Treatment Option for a Patient with Bland-White-Garland Syndrome.尼可地尔是 Bland-White-Garland 综合征患者的一种有效治疗选择。
Intern Med. 2017 Sep 1;56(17):2295-2299. doi: 10.2169/internalmedicine.8516-16. Epub 2017 Aug 10.
6
Echocardiographic Diagnosis, Surgical Treatment, and Outcomes of Anomalous Left Coronary Artery from the Pulmonary Artery.超声心动图诊断、手术治疗及动脉起源异常的左冠状动脉。
J Am Soc Echocardiogr. 2017 Sep;30(9):896-903. doi: 10.1016/j.echo.2017.05.005. Epub 2017 Jun 23.
7
ALCAPA syndrome: not just a pediatric disease.左冠状动脉起源于肺动脉综合征：不仅仅是一种儿科疾病。
Radiographics. 2009 Mar-Apr;29(2):553-65. doi: 10.1148/rg.292085059.
8
Physiologic assessment of coronary artery stenosis without stress tests: noninvasive analysis of phasic flow characteristics by transthoracic Doppler echocardiography.无负荷试验时冠状动脉狭窄的生理评估：经胸多普勒超声心动图对相位血流特征的无创分析
J Am Soc Echocardiogr. 2005 Sep;18(9):949-55. doi: 10.1016/j.echo.2005.01.006.