A most peculiar coronary circulation in a patient with pulmonary atresia and intact ventricular septum

被引：4
作者：
Freedom, RM
Yoo, SJ
Javois, A
机构：
[1] Hosp Sick Children, Div Cardiol, Toronto, ON M5G 1X8, Canada
[2] Univ Toronto, Fac Med, Dept Med Imaging, Dept Pediat,Div Cardiol, Toronto, ON, Canada
[3] Hosp Sick Children, Dept Pediat, Toronto, ON M5G 1X8, Canada
[4] Hope Childrens Hosp, Heart Inst Children, Oak Lawn, IL USA
来源：
CARDIOLOGY IN THE YOUNG | 2000年 / 10卷 / 01期
关键词：
pulmonary atresia and intact ventricular septum; collateral coronary artery circulation; absent aorto-coronary artery proximal; connections; right ventricular-dependent coronary circulation; Fontan operation;
D O I：
10.1017/S1047951100006429
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A patient with pulmonary atresia and intact ventricular septum was found to have a right ventricular-dependent coronary circulation. In this infant both coronary arteries lacked their normal proximal connection with the aorta, perhaps the most egregious form of this prejudicial coronary circulation. Even more interesting was a direct collateral vessel originating from the descending thoracic aorta and connecting with the coronary circulation. This patient has undergone bilateral modified Blalock-Taussig shunts, and left ventricular function seems preserved.
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页码：60 / 63
页数：4
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