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患有异常左冠状动脉和肥厚型梗阻性心肌病的患者。

Patient With an Anomalous Left Coronary Artery and Hypertrophic Obstructive Cardiomyopathy.

作者信息

O'Gorman Kevin J, Moulton Michael N, Gustafson Joshua D, Cahill Michael S, Gore Rosco S

机构信息

Department of Cardiology, Brooke Army Medical Center, San Antonio, Texas, USA.

Department of Cardiothoracic Surgery, Brooke Army Medical Center, San Antonio, Texas, USA.

出版信息

JACC Case Rep. 2024 Oct 2;29(19):102571. doi: 10.1016/j.jaccas.2024.102571.

DOI:10.1016/j.jaccas.2024.102571
PMID:39484337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11522731/
Abstract

A 39-year-old man presented with angina and a high-sensitivity troponin-T of 61 ng/L. Initial workup revealed the presence of left ventricular hypertrophy, an anomalous left main coronary artery, and no coronary atherosclerosis. This case demonstrates how multimodality imaging was used to elucidate the primary cause of the patient's angina.

摘要

一名39岁男性因心绞痛就诊，高敏肌钙蛋白T为61 ng/L。初步检查发现存在左心室肥厚、左冠状动脉主干异常且无冠状动脉粥样硬化。该病例展示了如何使用多模态成像来阐明患者心绞痛的主要病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/11522731/099ace3f7733/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/11522731/7302735fa594/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/11522731/6dd43ffe8217/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/11522731/d7e494a9dc38/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/11522731/9d7789d21cc4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/11522731/f4faa05f87fc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/11522731/099ace3f7733/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/11522731/7302735fa594/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/11522731/6dd43ffe8217/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/11522731/d7e494a9dc38/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/11522731/9d7789d21cc4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/11522731/f4faa05f87fc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/11522731/099ace3f7733/gr5.jpg

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本文引用的文献

1
2020 AHA/ACC Guideline for the Diagnosis and Treatment of Patients With Hypertrophic Cardiomyopathy: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.2020年美国心脏协会/美国心脏病学会肥厚型心肌病患者诊断和治疗指南：美国心脏病学会/美国心脏协会临床实践指南联合委员会报告
J Am Coll Cardiol. 2020 Dec 22;76(25):e159-e240. doi: 10.1016/j.jacc.2020.08.045. Epub 2020 Nov 20.
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Diagnostic and predictive value of speckle tracking echocardiography in cardiac sarcoidosis.斑点追踪超声心动图在心脏结节病中的诊断和预测价值。
BMC Cardiovasc Disord. 2020 Jan 20;20(1):21. doi: 10.1186/s12872-019-01323-0.
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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.
4
Multimodality Imaging in Individuals With Anomalous Coronary Arteries.异常冠状动脉个体的多模态影像学检查。
JACC Cardiovasc Imaging. 2017 Apr;10(4):471-481. doi: 10.1016/j.jcmg.2017.02.004.
5
Anomalous origin of the right coronary artery evaluated with multidetector computed tomography and its clinical relevance.多排螺旋计算机断层扫描评估右冠状动脉异常起源及其临床相关性
J Cardiol. 2016 Sep;68(3):196-201. doi: 10.1016/j.jjcc.2015.12.010. Epub 2016 Feb 20.
6
Anomalous origin of the coronary artery arising from the opposite sinus: prevalence and outcomes in patients undergoing coronary CTA.起源于对侧窦的冠状动脉异常：接受冠状动脉CTA检查患者的患病率及预后
Eur Heart J Cardiovasc Imaging. 2017 Feb;18(2):224-235. doi: 10.1093/ehjci/jev323. Epub 2016 Feb 3.