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动脉导管未闭合并源自肺动脉的异常左冠状动脉:动脉导管结扎后的灾难性后果。

Ductus arteriosus associated with an anomalous left coronary artery arising from the pulmonary artery: catastrophe after duct ligation.

作者信息

Ortiz E, de Leval M, Somerville J

出版信息

Br Heart J. 1986 Apr;55(4):415-7. doi: 10.1136/hrt.55.4.415.

DOI:10.1136/hrt.55.4.415
PMID:3964511
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1236749/
Abstract

Chronic left ventricular failure developed two months after ligation of an apparently uncomplicated large ductus arteriosus in a one year old girl. Two years later deterioration had progressed to a terminal stage. An anomalous left coronary artery arising from the pulmonary artery had not been recognised before duct ligation. This anomaly was diagnosed two years after ligation and was then treated by surgical redirection, but the patient died of severe left ventricular dysfunction.

摘要

一名1岁女童在结扎明显无并发症的大型动脉导管两个月后出现慢性左心室衰竭。两年后病情恶化至晚期。在结扎导管之前未识别出起源于肺动脉的异常左冠状动脉。结扎两年后诊断出该异常,随后进行了手术改道治疗,但患者死于严重的左心室功能障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a4/1236749/14afd2d39ca8/brheartj00100-0096-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a4/1236749/361b07c0496a/brheartj00100-0096-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a4/1236749/14afd2d39ca8/brheartj00100-0096-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a4/1236749/361b07c0496a/brheartj00100-0096-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a4/1236749/14afd2d39ca8/brheartj00100-0096-b.jpg

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Ductus arteriosus associated with an anomalous left coronary artery arising from the pulmonary artery: catastrophe after duct ligation.动脉导管未闭合并源自肺动脉的异常左冠状动脉:动脉导管结扎后的灾难性后果。
Br Heart J. 1986 Apr;55(4):415-7. doi: 10.1136/hrt.55.4.415.
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Paediatr Anaesth. 2012 May;22(5):487-9. doi: 10.1111/j.1460-9592.2011.03791.x. Epub 2012 Jan 9.

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Anomalous left coronary artery connected to the pulmonary artery associated with other cardiac defects: a difficult joint diagnosis.

本文引用的文献

1
Anomalous origin of the left coronary artery from the pulmonary trunk. Potential for false negative diagnosis with cross sectional echocardiography.左冠状动脉起源于肺动脉干。经胸超声心动图存在假阴性诊断的可能性。
Br Heart J. 1984 Sep;52(3):272-7. doi: 10.1136/hrt.52.3.272.
异常左冠状动脉连接至肺动脉并伴有其他心脏缺陷:一项困难的联合诊断。
Pediatr Cardiol. 2014 Oct;35(7):1198-205. doi: 10.1007/s00246-014-0916-4. Epub 2014 Jun 5.
4
Occult anomalous origin of the left coronary artery from the pulmonary artery with ventricular septal defect.左冠状动脉起源于肺动脉伴室间隔缺损的隐匿性异常。
Ann Pediatr Cardiol. 2011 Jan;4(1):62-4. doi: 10.4103/0974-2069.79627.
5
Acute myocardial infarction in infancy: unmasking of anomalous origin of the left coronary artery from the pulmonary artery by ligation of an arterial duct.婴儿期急性心肌梗死:动脉导管结扎术揭示左冠状动脉起源于肺动脉的异常情况。
Br Heart J. 1989 Mar;61(3):307-8. doi: 10.1136/hrt.61.3.307.
6
Anomalous left coronary artery from the main pulmonary trunk: physiologic and clinical importance of its association with persistent ductus arteriosus.
Pediatr Cardiol. 1992 Apr;13(2):97-9. doi: 10.1007/BF00798213.