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中华医学超声杂志(电子版) ›› 2021, Vol. 18 ›› Issue (11) : 1121 -1125. doi: 10.3877/cma.j.issn.1672-6448.2021.11.021

病例报告

新生儿右冠状动脉异常起源于肺动脉一例及文献复习
顾培培1, 徐秋琴1,(), 王辉1, 丁粤粤1, 侯翠1, 陈龙1, 孙耀文1, 司雪滢1   
  1. 1. 215000 江苏苏州,苏州大学附属儿童医院心超室
  • 收稿日期:2020-03-18 出版日期:2021-11-01
  • 通信作者: 徐秋琴
  • 基金资助:
    苏州市科技发展计划(SS202066)

Anomalous right coronary artery derived from the pulmonary artery in newborn infant: a case report and review of the literature

Peipei Gu1, Qiuqin Xu1(), Hui Wang1   

  • Received:2020-03-18 Published:2021-11-01
  • Corresponding author: Qiuqin Xu
引用本文:

顾培培, 徐秋琴, 王辉, 丁粤粤, 侯翠, 陈龙, 孙耀文, 司雪滢. 新生儿右冠状动脉异常起源于肺动脉一例及文献复习[J]. 中华医学超声杂志(电子版), 2021, 18(11): 1121-1125.

Peipei Gu, Qiuqin Xu, Hui Wang. Anomalous right coronary artery derived from the pulmonary artery in newborn infant: a case report and review of the literature[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18(11): 1121-1125.

图1 患儿1月龄超声心动图检查结果。图a二维图像显示右侧冠状动脉由主肺动脉发出,图b彩色多普勒超声显示冠状动脉内血流自右冠状动脉流向肺动脉
图2 患儿4月龄时超声心动图复查结果。图a二维图像显示右侧冠状动脉内径较之前稍增宽,图b彩色多普勒超声显示左侧冠状动脉增宽,血流信号丰富
图3 患儿7月龄时超声心动图二维图像显示双侧冠状动脉内径又较之前增宽。图a、b分别对应显示左、右冠状动脉的变化
图4 患儿4月龄时心脏CT血管造影显示右侧冠状动脉起源于肺动脉
图5 患儿行右冠状动脉矫治术术后第2天复查超声心动图。二维图像显示双侧冠状动脉内径仍明显增宽,与术前相比没有明显变化,图a、b分别对应显示左、右冠状动脉的变化
图6 患儿行右冠状动脉矫治术术后1年复查超声心动图。二维图像显示双侧冠状动脉内径已恢复至正常范围之内,图a、b分别对应显示左、右冠状动脉的变化
图7 术前冠状动脉内径的变化与术后冠状动脉内径变化统计图
表1 文献报道的16例右冠状动脉异常起源于肺动脉患者术后随访资料
1
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Kim K, Jo E, Yu J, et al. Anomalous right coronary artery from pulmonary artery discovered incidentally in an asymptomatic young infant [J]. Korean J Pediatr, 2016, 59(Suppl 1): S80-S83.
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Afolabi-Brown O, Witzke C, Moldovan R, et al. A different kind of christmas tree: anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) [J]. Echocardiography, 2014, 31(2): e52-e54.
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Zhang Y, Wang Z, Fang M, et al. Aortic implantation for anomalous connection of the coronary artery to the pulmonary artery in older children and adults [J]. Thorac Cardiovasc Surg, 2017, 65(1): 18-25.
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Al-Dairy A, Rezaei Y, Pouraliakbar H, et al. Surgical repair for anomalous origin of the right coronary artery from the pulmonary artery [J]. Korean Circ J, 2017, 47(1): 144-147
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