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回旋支动脉起源于右肺动脉异常。

Anomalous origin of the circumflex artery from the right pulmonary artery.

作者信息

Brown Parker J, Jokerst Clinton E, Stib Matthew, Panse Prasad M, Gotway Michael B, Rojas Carlos A

机构信息

Department of Radiology, Mayo Clinic Arizona, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.

出版信息

Radiol Case Rep. 2024 May 10;19(8):3080-3083. doi: 10.1016/j.radcr.2024.04.061. eCollection 2024 Aug.

DOI:10.1016/j.radcr.2024.04.061
PMID:38770385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11103357/
Abstract

Anomalous origin of the circumflex artery from the pulmonary artery (ACxAPA) is a rare but clinically significant condition in which the circumflex artery arises from either the main pulmonary artery or one of its main branches. Untreated patients with ACxAPA may develop severe heart failure or sudden cardiac death. Diagnosis is established with either catheter or CT angiography. We present a case of an adult male with no prior known cardiac history who was found to have ACxAPA after presenting to our institution in acute decompensated heart failure.

摘要

回旋支动脉起源于肺动脉（ACxAPA）是一种罕见但具有临床意义的病症，其中回旋支动脉起源于主肺动脉或其主要分支之一。未经治疗的ACxAPA患者可能会发展为严重心力衰竭或心源性猝死。通过心导管检查或CT血管造影来确诊。我们报告一例成年男性病例，该患者既往无已知心脏病史，因急性失代偿性心力衰竭就诊于我院后被发现患有ACxAPA。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8873/11103357/2b3cf3b15eae/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8873/11103357/59b1c271a828/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8873/11103357/2b3cf3b15eae/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8873/11103357/59b1c271a828/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8873/11103357/2b3cf3b15eae/gr2.jpg

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本文引用的文献

1
Anomalous origin of the left circumflex artery from the pulmonary artery associated with non-compaction of the left ventricle: usefulness of multimodality imaging-a case report.左回旋支动脉起源于肺动脉并伴有左心室心肌致密化不全：多模态成像的应用——病例报告
Eur Heart J Case Rep. 2023 May 25;7(6):ytad250. doi: 10.1093/ehjcr/ytad250. eCollection 2023 Jun.
2
Coronary Artery Anomalies: A Short Case Series and Current Review.冠状动脉异常：一个简短的病例系列及当前综述
Cureus. 2023 May 8;15(5):e38732. doi: 10.7759/cureus.38732. eCollection 2023 May.
3
Anomalous Origin of the Circumflex or Left Anterior Descending Artery From the Pulmonary Artery.
异常起源的回旋支或左前降支动脉从肺动脉。
World J Pediatr Congenit Heart Surg. 2020 Nov;11(6):765-775. doi: 10.1177/2150135120938705.
4
2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.2018年美国心脏协会/美国心脏病学会成人先天性心脏病管理指南：执行摘要：美国心脏病学会/美国心脏协会临床实践指南工作组报告
J Am Coll Cardiol. 2019 Apr 2;73(12):1494-1563. doi: 10.1016/j.jacc.2018.08.1028. Epub 2018 Aug 16.
5
Anomalous Coronary Arteries That Need Intervention: Review of Pre- and Postoperative Imaging Appearances.需要干预的异常冠状动脉：术前和术后影像学表现综述
Radiographics. 2017 May-Jun;37(3):740-757. doi: 10.1148/rg.2017160124. Epub 2017 Apr 7.
6
Coronary Artery Development: Progenitor Cells and Differentiation Pathways.冠状动脉发育：祖细胞与分化途径
Annu Rev Physiol. 2017 Feb 10;79:1-19. doi: 10.1146/annurev-physiol-022516-033953. Epub 2016 Dec 9.
7
Coronary artery anomalies overview: The normal and the abnormal.冠状动脉异常概述：正常与异常情况
World J Radiol. 2016 Jun 28;8(6):537-55. doi: 10.4329/wjr.v8.i6.537.
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Anomalous Origins of Coronary Arteries From the Pulmonary Artery: A Comprehensive Review of Literature and Surgical Options.
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Coronary CTA assessment of coronary anomalies.冠状动脉 CTA 评估冠状动脉异常。
J Cardiovasc Comput Tomogr. 2012 Jan-Feb;6(1):48-59. doi: 10.1016/j.jcct.2011.06.009. Epub 2011 Nov 25.
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