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.
• 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.
• 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。
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