案例报告:单个冠状动脉的多模式评估和临床管理
Patrick McAlpin1, Matthew Purlee1, Ann Dickey2
1Division of Cardiovascular Imaging, Department of Radiology, University of Florida, Gainesville, FL, United States.
Frontiers in cardiovascular medicine
|January 23, 2024
概括
一个罕见的单一冠状动脉异常在一个青少年自发地解决. 这一案例凸显了对心的全面评估的重要性,即使是良性冠状动脉解剖发现.
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.
- 血管解剖学 血管解剖学
背景情况:
- 先天性冠状动脉异常很少见,但可能导致显著的心血管事件.
- 一名14岁的男性出现心和头,促使进行心脏检查.
研究的目的:
- 描述一个罕见的单一冠状动脉异常病例,其中一个是横截面左冠状动脉.
- 为了评估临床意义和管理这个异常在一个年轻的患者呈现心.
主要方法:
- 一个14岁的男性患有心的病例报告.
- 诊断工作包括心电图,心声图,对比度增强CT冠状动脉图,跑步机运动压力测试和侵入性冠状动脉图.
主要成果:
- 一个单一的冠状动脉起源于右侧鼻,而左侧冠状动脉呈现出不寻常的跨septal,静脉内和静脉内路径.
- 鼻腔结节动脉起源于左冠状动脉.
- 没有发现显著的冠状动脉流量限制,光线狭窄或动态压缩.
- 心自发消失,没有任何干预.
结论:
- 这一案例突出显示了一种罕见的冠状动脉异常,其过程复杂.
- 缺乏功能障碍表明,并非所有冠状动脉异常都需要干预.
- 症状自发消失表明,与解剖学发现相关联的临床表现的重要性.
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