无症状的ALCAPA与3岁儿童心肌功能保留在一个3岁的孩子
C Leclercq1, F Kaladji2, J P Vallée3
1Pediatric Cardiology Unit, University Hospital of Geneva, Geneva, Switzerland. Charlotte.Leclercq@hug.ch.
Pediatric cardiology
|September 8, 2025
概括
来自肺动脉的异常左冠状动脉 (ALCAPA) 是罕见的. 这项案例研究强调了一个患有ALCAPA的3岁女孩,表现出广泛的附带症状和保存的心脏功能,这表明临床过程不那么严重.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 心血管外科心血管外科
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异常,具有典型的严重婴儿表现.
- 未经治疗的ALCAPA可导致左心室缺血,心脏性休克和高死亡率.
- 典型的呈现与在某些情况下观察到的非典型的,不那么严重的临床过程形成鲜明对比.
研究的目的:
- 报告一个罕见的ALCAPA病例,发生在一个3岁女孩身上.
- 描述特定的心血管发现,包括附带循环和左心室功能.
- 讨论这些发现对ALCAPA的临床过程和管理的影响.
主要方法:
- 一个3岁的女性患者的病例报告.
- 诊断评估包括心声回声和潜在的其他成像方式 (详细信息未提供摘要).
- 评估冠状动脉异常,并发途径和心室功能.
主要成果:
- 在一个3岁的女孩的肺动脉 (ALCAPA) 的异常左冠状动脉的诊断.
- 识别广泛的右至左附带船只.
- 尽管存在异常,但左心室功能被保留,心肌损伤最小.
结论:
- 这种病例表明ALCAPA的非典型呈现,临床过程较温和.
- 广泛的担保可能在维持心肌输液和功能方面发挥关键作用.
- 强调在儿科心脏病学中考虑ALCAPA的各种表现的重要性.
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