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成年无症状患者的ALCAPA:一个病例报告

Sandugash Talkhatova¹, Marat Aripov², Abdurashid Mussayev²

¹National Research Cardiac Surgery Center, Astana 010000, Kazakhstan.

International journal of surgery case reports

|July 28, 2023

概括

左冠状动脉来自肺动脉的异常起源 (ALCAPA) 是罕见的,但在成年人中可能无症状. 这一案例突出了老年患者的保守管理,表明ALCAPA的个性化护理.

科学领域:

心脏病学心脏病学
遗传性心脏病是一种先天性心脏病.
成年人的先天性心脏病

背景情况:

左冠状动脉来自肺动脉的异常起源 (ALCAPA) 是一种罕见的先天性心脏缺陷.
通常在婴儿期出现心力衰竭,在没有手术纠正的情况下死亡率高.
成年人呈现不常见,由于附带循环可能导致无症状疾病.

研究的目的:

报告一名无症状的52岁女性偶然诊断出ALCAPA的病例.
讨论保守管理在选择成年ALCAPA病例中的影响.
强调ALCAPA个性化治疗策略的重要性.

主要方法:

一个52岁的女性,偶尔被诊断为ALCAPA的情况介绍.
评估包括对冠状动脉附带循环的评估.
由于患者的年龄和无症状状态,选择了保守的医疗管理.

主要成果:

该患者在例行医疗评估期间被诊断出患有ALCAPA.
她没有症状,冠状动脉附带循环良好.
患者在良好的医疗管理下康复出院,并在三个月的随访中没有出现心血管并发症.

结论:

根据PDA状态,压力梯度和附带的发展,ALCAPA症状的表现有所不同.
手术是标准的,但可以考虑对老年无症状患者进行保守的治疗.
个人评估对于最佳的ALCAPA治疗至关重要,平衡手术风险和潜在益处.

关键词:

阿尔卡帕阿尔卡帕是什么意思左冠状动脉来自肺动脉的异常起源混白花环综合征混白花环综合征案例报告案例报告冠状动脉异常情况

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