通往呼吸困难的曲折之路：一例罕见的肺动脉起源异常左冠状动脉表现的病例报告

The Winding Road to Dyspnea: A Case Report of an Unusual Presentation of Anomalous Left Coronary Artery from the Pulmonary Artery.

作者信息

Fooks Allen, Bhatia Ranvir, Sivalokanathan Sanjay, Chokshi Neel P

机构信息

Hackensack Meridian School of Medicine, Nutley, NJ 07110, USA.

Sports Cardiology and Fitness Program, Division of Cardiovascular Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.

出版信息

Reports (MDPI). 2024 Dec 12;7(4):114. doi: 10.3390/reports7040114.

DOI:10.3390/reports7040114

PMID:40757711

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12199984/

Abstract

Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly. Such patients are unlikely to survive adulthood without a major surgical correction. We report a 30-year-old female with a lifelong murmur who presented to the sports cardiology clinic with progressively reduced exercise tolerance. She was eventually diagnosed with ALCAPA and underwent successful Takeuchi repair. Surgical correction is strongly recommended upon diagnosis to mitigate the associated risks and improve the prognosis for affected individuals.

摘要

起源于肺动脉的异常左冠状动脉（ALCAPA）是一种罕见的先天性异常。未经重大手术矫正，此类患者成年后存活的可能性不大。我们报告了一名30岁女性，她有终身心脏杂音，因运动耐量逐渐下降就诊于运动心脏病诊所。她最终被诊断为ALCAPA，并成功接受了竹内修复术。强烈建议一旦诊断即进行手术矫正，以降低相关风险并改善患者预后。