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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.

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/0cb0/10954573/4db5931851e0/ga1.jpg

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