Critical stenosis of a right ventricle to coronary artery fistula seen at dual-source CT in a newborn with pulmonary atresia and intact ventricular septum

被引：7

作者：

Seguela, Pierre-Emmanuel ^{[1
,2
]}

Houyel, Lucile ^{[2
]}

Loget, Philippe ^{[3
]}

Piot, Jean-Dominique ^{[2
]}

Paul, Jean-Francois ^{[4
]}

机构：

[1] Hop Enfants, F-31059 Toulouse 9, France

[2] Ctr Chirurg Marie Lannelongue, Dept Pediat Cardiol, Le Plessis Robinson, France

[3] Ctr Hosp Univ Rennes, Dept Pathol, Rennes, France

[4] Ctr Chirurg Marie Lannelongue, Dept Pediat Radiol, Le Plessis Robinson, France

来源：

PEDIATRIC RADIOLOGY | 2011年 / 41卷 / 08期

关键词：

Pulmonary atresia with intact ventricular septum; Coronary fistula; Congenital heart disease; Computed tomography;

D O I：

10.1007/s00247-011-2068-5

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

We report the case of a newborn with pulmonary atresia with intact ventricular septum and right ventricle-dependent coronary circulation. He died several weeks after a Blalock-Taussig procedure because of a progressive stenosis of the main coronary artery. We present echocardiographic and dual-source CT images of the stenosis, with autopsy correlation. To our knowledge, CT images of this quality have never been reported in a newborn. This case illustrates the extreme difficulty in prognosticating the outcome for these patients and underlines the need for a detailed neonatal coronary mapping to assess right ventricle-dependent coronary circulation.

引用

页码：1069 / 1072

页数：4

共 7 条

[1] Evaluation of image quality and radiation dose of thoracic and coronary dual-source CT in 110 infants with congenital heart disease [J].

Ben Saad, Moez ;

Rohnean, Adela ;

Sigal-Cinqualbre, Anne ;

Adler, Ghazal ;

Paul, Jean-Francois .

PEDIATRIC RADIOLOGY, 2009, 39 (07) :668-676

[2] The prevalence of coronary arterial abnormalities in pulmonary atresia with intact ventricular septum and their influence on surgical results [J].

Calder, A. Louise ;

Peebles, Charles R. ;

Occleshaw, Christopher J. .

CARDIOLOGY IN THE YOUNG, 2007, 17 (04) :387-396

[3] DIAGNOSIS AND MANAGEMENT OF RIGHT VENTRICLE-DEPENDENT CORONARY CIRCULATION IN PULMONARY ATRESIA WITH INTACT VENTRICULAR SEPTUM [J].

GIGLIA, TM ;

MANDELL, VS ;

CONNOR, AR ;

MAYER, JE ;

LOCK, JE .

CIRCULATION, 1992, 86 (05) :1516-1528

[4] Coronary artery visibility in free-breathing young children with congenital heart disease on cardiac 64-slice CT: dual-source ECG-triggered sequential scan vs. single-source non-ECG-synchronized spiral scan [J].

Goo, Hyun Woo ;

Yang, Dong Hyun .

PEDIATRIC RADIOLOGY, 2010, 40 (10) :1670-1680

[5] Radiation dose for thoracic and coronary step-and-shoot CT using a 128-slice dual-source machine in infants and small children with congenital heart disease [J].

Paul, Jean-Francois ;

Rohnean, Adela ;

Elfassy, Eric ;

Sigal-Cinqualbre, Anne .

PEDIATRIC RADIOLOGY, 2011, 41 (02) :244-249

[6] Outcome in infant with pulmonary atresia, intact ventricular septum, and right ventricle-dependent coronary circulation [J].

Powell, AJ ;

Mayer, JE ;

Lang, P ;

Lock, JE .

AMERICAN JOURNAL OF CARDIOLOGY, 2000, 86 (11) :1272-+

[7] Echocardiographic predictors of coronary artery pathology in pulmonary atresia with intact ventricular septum [J].

Satou, GM ;

Perry, SB ;

Gauvreau, K ;

Geva, T .

AMERICAN JOURNAL OF CARDIOLOGY, 2000, 85 (11) :1319-1324

← 1 →