经食管超声心动图在有Ross手术史患者冠状动脉缺血诊断中的作用
Role of Transesophageal Echocardiography in the Diagnosis of Coronary Ischemia in a Patient with History of Ross Procedure.
作者信息
Sebastian Joseph, Dawdy John, Ala Chandra, Zehr Kenton, Gupta Pooja, Afonso Luis
机构信息
Division of Cardiovascular Medicine, Wayne State University/Detroit Medical Center, Detroit, Michigan.
Division of Cardiovascular Medicine, Advanced Cardiac Imaging, Henry Ford Hospital, Detroit, Michigan.
出版信息
CASE (Phila). 2024 Mar 8;8(3Part A):109-116. doi: 10.1016/j.case.2023.12.021. eCollection 2024 Mar.
• Multidisciplinary management is essential for complications post–Ross procedure. • Symptomatic coronary ischemia may occur late in Ross procedure patients. • Coronary ostium narrowing is a differential for ischemia post–Ross procedure. • TEE can aid in diagnosing coronary stenosis in a Ross procedure patient. • TTE may miss eccentric AR post–Ross surgery; high suspicion justifies TEE.
• 多学科管理对于Ross手术后的并发症至关重要。
• 有症状的冠状动脉缺血可能在Ross手术患者中晚期出现。
• 冠状动脉开口狭窄是Ross手术后缺血的鉴别诊断之一。
• 经食管超声心动图（TEE）有助于诊断Ross手术患者的冠状动脉狭窄。
• 经胸超声心动图（TTE）可能漏诊Ross手术后的偏心性主动脉反流；高度怀疑时需行TEE检查。
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