一名成人被诊断出左冠状动脉异常起源于肺动脉。
Anomalous Left Coronary Artery Originating From the Pulmonary Artery Diagnosed in an Adult.
作者信息
Croll Lindsey, Ellerman Michael, Ahsan Muhammad J, Veer Manik
机构信息
Iowa Heart Center, MercyOne Des Moines Medical Center, Des Moines, Iowa.
出版信息
CASE (Phila). 2024 Mar 8;8(3Part A):127-132. doi: 10.1016/j.case.2023.12.027. eCollection 2024 Mar.
Abstract
• ALCAPA presenting in adulthood is a rare cause of ischemic cardiomyopathy. • An unexplained dilated RCA should raise concern for ALCAPA. • Multimodality imaging is helpful for diagnosis, but often echo alone can be diagnostic. • Treatment is reimplantation of the LMCA.
摘要
• 成年期出现的左冠状动脉起源异常（ALCAPA）是缺血性心肌病的罕见病因。
• 原因不明的右冠状动脉扩张应引起对ALCAPA的关注。
• 多模态成像有助于诊断，但通常仅超声心动图就可作出诊断。
• 治疗方法是左冠状动脉主干再植术。
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