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室间隔完整的肺动脉闭锁合并源自肺动脉的异常左冠状动脉

Pulmonary Atresia Intact Ventricular Septum With Anomalous Left Coronary Artery From Pulmonary Artery.

作者信息

Norbisrath Kalpana Singh, Labarinas Sonia, Meliones Jon, McMann David, Patel Mehul, Vasquez Choy Ana, Salazar Jorge, Greenleaf Christopher

机构信息

Children's Heart Institute, Children's Memorial Hermann Hospital, Houston, Texas.

出版信息

Ann Thorac Surg Short Rep. 2024 Jun 28;2(4):884-887. doi: 10.1016/j.atssr.2024.06.015. eCollection 2024 Dec.

DOI:10.1016/j.atssr.2024.06.015
PMID:39790619
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708625/
Abstract

A patient with known pulmonary atresia and intact ventricular septum and ductal stent presented with low cardiac output and arrythmia. Intraoperatively, the patient was found to have an anomalous left coronary artery arising from the pulmonary artery. After reimplantation of the left coronary artery to the aortic root and placement of a central shunt, the patient progressed well and was discharged home. A high index of suspicion and clear diagnostic visualization of both right and left coronary artery origins are needed to diagnose this highly fatal yet treatable lesion properly.

摘要

一名患有已知肺动脉闭锁且室间隔完整和动脉导管支架的患者出现心输出量低和心律失常。术中发现该患者有一条异常的左冠状动脉起源于肺动脉。在将左冠状动脉重新植入主动脉根部并放置中央分流器后，患者恢复良好并出院回家。需要高度怀疑并清晰显示左右冠状动脉的起源，才能正确诊断这种极具致命性但可治疗的病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9678/11708625/a36c8bfea72e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9678/11708625/5360fbf94451/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9678/11708625/d9bb2de4bd39/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9678/11708625/a36c8bfea72e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9678/11708625/5360fbf94451/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9678/11708625/d9bb2de4bd39/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9678/11708625/a36c8bfea72e/gr3.jpg

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ALCAPA syndrome: not just a pediatric disease.左冠状动脉起源于肺动脉综合征：不仅仅是一种儿科疾病。
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