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
收藏
页码：1069 / 1072
页数：4
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