在ALCAPA修复后的年轻成年人中,心室动脉风
Sun Young Jeong1, Justin Hayase2, Jeremy Moore2
1Department of Cardiology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California, USA.
JACC. Case reports
|September 19, 2024
概括
异常的左冠状动脉到肺动脉 (ALCAPA) 修复可以导致晚期腹腔动脉高心率. 这一案例凸显了在有ALCAPA病史的患者中认识到这种风险的重要性.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 异常的左冠状动脉到肺动脉 (ALCAPA) 是一种罕见的先天性心脏缺陷.
- 它是婴儿和儿童心肌缺血的一个重要原因.
- 手术修复通常是在婴儿时期进行的.
研究的目的:
- 在ALCAPA修复18年后,在一个成年人中报告一种罕见的心室动脉冲动风暴病例.
- 为了强调与ALCAPA修复相关的长期风险.
- 提高临床医生对晚期心律失常并发症的认识.
主要方法:
- 案例报告的呈现方式.
- 对临床病史和诊断结果的审查.
- 讨论潜在的病理生理机制.
主要成果:
- 一个年轻的成年人出现了复发的室内动脉冲动风暴.
- 这位患者在18年前成功接受了ALCAPA修复.
- 没有发现其他导致心室低心率的直接原因.
结论:
- 腹腔动脉短心是ALCAPA修复后的一个潜在的长期并发症.
- 对于有ALCAPA病史的患者,终身心脏监测可能是合理的.
- 临床医生必须保持在这个人群中对心律失常的高度怀疑指数.
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