https://scholars.lib.ntu.edu.tw/handle/123456789/469625
標題: | Congenital atresia of the left main coronary artery associated with patent ductus arteriosus and aortic regurgitation | 作者: | Chou H.-H. Chan C.-H. Tsai K.-T. CHUNG-I CHANG Ko Y.-L. |
公開日期: | 2009 | 卷: | 73 | 期: | 6 | 起(迄)頁: | 1163-1166 | 來源出版物: | Circulation Journal | 摘要: | Congenital left main coronary artery (LMCA) atresia is a rare anomaly and surgical revascularization is recommended once the diagnosis is confirmed. In some cases, LMCA atresia will coexist with other cardiac anomalies, mostly in pediatric patients. A 32-year-old woman had congenital LMCA atresia associated with patent ductus arteriosus (PDA), aortic regurgitation (AR), and moderate pulmonary hypertension. The PDA and AR were repaired surgically and the patient's symptoms improved. Coronary revascularization was not performed because the LCA was supplied by 2 large conus arteries, as "naturally occurring" bypass arteries. The patient remained asymptomatic at the 2.5-year follow-up visit. Given the positive outcome in this patient, surgical repair of the associated cardiac defect without coronary revascularization may be a reasonable approach for patients with congenital LMCA atresia, in which the left coronary arterial tree is supplied by other "naturally occurring" bypass arteries. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-67649835973&doi=10.1253%2fcircj.CJ-08-0282&partnerID=40&md5=2ea68e2ebe9d41e71feb0e06a995ac4b https://scholars.lib.ntu.edu.tw/handle/123456789/469625 |
ISSN: | 1346-9843 | DOI: | 10.1253/circj.CJ-08-0282 | SDG/關鍵字: | digitalis; diuretic agent; technetium 99m; adult; aorta valve regurgitation; aortography; arterial pressure; article; atresia; blood flow; case report; computed tomographic angiography; dyspnea; female; follow up; heart catheterization; heart failure; heart murmur; heart muscle revascularization; heart surgery; human; left coronary artery atresia; oxygen saturation; patent ductus arteriosus; pulmonary hypertension; respiratory distress; scintigraphy; transthoracic echocardiography; Adult; Aortic Valve Insufficiency; Coronary Angiography; Coronary Vessel Anomalies; Coronary Vessels; Ductus Arteriosus, Patent; Female; Humans; Treatment Outcome; Vascular Surgical Procedures |
顯示於: | 醫學系 |
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