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一种用于管理孕期源自肺动脉的异常右冠状动脉的多模态成像和多学科方法。

A Multimodality Imaging and Multidisciplinary Approach to Manage Anomalous Right Coronary Artery from the Pulmonary Artery in Pregnancy.

作者信息

Narvaez-Guerra Offdan D, Sorour Nouran, Aurigemma Gerard P, Parker Matthew W, Kanter David J, Kovell Lara C

机构信息

Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Chan School of Medicine, Worcester, Massachusetts.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Massachusetts Chan School of Medicine, Worcester, Massachusetts.

出版信息

CASE (Phila). 2024 Mar 8;8(3Part A):122-126. doi: 10.1016/j.case.2023.12.013. eCollection 2024 Mar.

DOI:10.1016/j.case.2023.12.013
PMID:38524969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10954573/
Abstract

• ARCAPA can present with minimal symptoms. • A dilated RCA and intramyocardial collateralization are suspicious for ARCAPA. • CCT is the noninvasive diagnostic modality of choice to confirm ARCAPA. • Risk stratification of pregnant patients is key to preventing delivery complications.

摘要

• 先天性冠状动脉异常起源于肺动脉(ARCAPA)可能仅表现出轻微症状。

• 右冠状动脉扩张和心肌内侧支循环形成提示可能存在ARCAPA。

• 计算机断层扫描(CCT)是确诊ARCAPA的首选非侵入性诊断方法。

• 对孕妇进行风险分层是预防分娩并发症的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/22ab99d78fd0/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/4db5931851e0/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/fca406e0a236/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/17c1c1adb677/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/4d0fd98ba4c6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/6e06d2205161/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/c2a21e08ad92/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/2b8dcce89ec0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/22ab99d78fd0/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/4db5931851e0/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/fca406e0a236/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/17c1c1adb677/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/4d0fd98ba4c6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/6e06d2205161/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/c2a21e08ad92/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/2b8dcce89ec0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb0/10954573/22ab99d78fd0/gr7.jpg

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本文引用的文献

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Cardiac imaging findings in anomalous origin of the coronary arteries from the pulmonary artery; narrative review of the literature.肺动脉起源的冠状动脉异常的心脏影像学表现;文献综述
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2020年欧洲心脏病学会成人先天性心脏病管理指南。
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Cardiovascular Considerations in Caring for Pregnant Patients: A Scientific Statement From the American Heart Association.妊娠期心血管问题的处理:美国心脏协会科学声明
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Anomalous Origin of the Right Coronary Artery From the Pulmonary Artery: A Systematic Review.右冠状动脉起自肺动脉:系统评价。
Ann Thorac Surg. 2020 Sep;110(3):1063-1071. doi: 10.1016/j.athoracsur.2020.01.082. Epub 2020 Mar 7.
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Diagnosis of anomalous origin of the right coronary artery from the pulmonary artery by echocardiography.经超声心动图诊断右冠状动脉起源于肺动脉异常。
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Circulation. 2019 Apr 2;139(14):e698-e800. doi: 10.1161/CIR.0000000000000603.
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Pregnancy Outcomes in Women With Heart Disease: The CARPREG II Study.患有心脏病的女性的妊娠结局:CARPREG II 研究。
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Adult presentation of ALCAPA: Echo and CT diagnosis.成人型左冠状动脉起源于肺动脉(ALCAPA)的表现:超声心动图和CT诊断
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Multimodality Imaging in Individuals With Anomalous Coronary Arteries.异常冠状动脉个体的多模态影像学检查。
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