Intramural Left Coronary Artery in Truncus Arteriosus

被引：3

作者：

Hussein, Nabil ^{[1
]}

Speggiorin, Simone ^{[1
]}

Bu'Lock, Frances ^{[1
]}

Corno, Antonio F. ^{[1
]}

机构：

[1] Glenfield Hosp, East Midlands Congenital Heart Ctr, Groby Rd, Leicester LE3 9PQ, Leics, England

来源：

WORLD JOURNAL FOR PEDIATRIC AND CONGENITAL HEART SURGERY | 2018年 / 9卷 / 01期

关键词：

coronary angiography; echocardiography; intramural coronary artery; truncus arteriosus; congenital heart surgery;

D O I：

10.1177/2150135116664880

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An intramural coronary artery in the setting of truncus arteriosus (common arterial trunk) is an uncommon association. Following an uneventful surgical repair, a neonate developed a low cardiac output state deteriorating into cardiac arrest shortly after arrival into the intensive care unit, requiring extracorporeal membrane oxygenation support. Echocardiography and angiography showed occlusion of the left coronary artery, prompting emergency surgical reexploration. A "slit-like" orifice with an intramural left coronary artery was successfully unroofed, allowing full recovery. Full definition of the proximal coronary anatomy beyond the orifices should be investigated preoperatively in truncus arteriosus, as a missed intramural segment could lead to significant morbidity or mortality.

引用

页码：117 / 120

页数：4

共 8 条

[1] Surgical treatment of right coronary arteries with anomalous origin and slit ostium [J].