Narvaez-Guerra Offdan D, Sorour Nouran, Aurigemma Gerard P, Parker Matthew W, Kanter David J, Kovell Lara C
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.
CASE (Phila). 2024 Mar 8;8(3Part A):122-126. doi: 10.1016/j.case.2023.12.013. eCollection 2024 Mar.
• 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.
• 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。