Rivera I R, Moises V A, Silva C C, Abujamra P, Andrade J L, Carvalho A C
Escola Paulista de Medicina, UNIFESP.
Arq Bras Cardiol. 1998 Aug;71(2):143-6. doi: 10.1590/s0066-782x1998000800010.
This report describes the clinical, echocardiographic and angiographic aspects of a five-day old boy with pulmonary atresia and intact ventricular septum. Both the echocardiogram and the aortography did not show any coronary arteries arising from the aorta. Two-dimensional echocardiography was able to identify the coronary arteries originating from the right ventricle and so did the right ventricular angiogram. No retrograde flow into the aorta or pulmonary trunk was identified after opacification of the coronary arteries. As far as we know this is the first case diagnosed by echocardiography, and is a vivid example of the necessity of identifying the coronary arteries in patients with pulmonary atresia and intact ventricular septum.
本报告描述了一名患有肺动脉闭锁且室间隔完整的5日龄男婴的临床、超声心动图及血管造影表现。超声心动图和主动脉造影均未显示有冠状动脉起源于主动脉。二维超声心动图能够识别出起源于右心室的冠状动脉，右心室血管造影也能做到。在冠状动脉显影后，未发现有造影剂逆流至主动脉或肺动脉干。据我们所知，这是首例经超声心动图诊断的病例，也是肺动脉闭锁且室间隔完整患者中识别冠状动脉必要性的一个生动实例。
