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Congenital atresia of left main coronary artery in 4 children: case report and literature review

Xiao, Yanyan ; Han, Ling ; Jin, Mei ; Ding, Wenhong

Zhonghua er ke za zhi, 2014-05, Vol.52 (5), p.383

China

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Título:
Congenital atresia of left main coronary artery in 4 children: case report and literature review
Autor: Xiao, Yanyan ; Han, Ling ; Jin, Mei ; Ding, Wenhong
Assuntos: Child ; Child, Preschool ; Coronary Angiography - methods ; Coronary Vessel Anomalies - diagnosis ; Coronary Vessel Anomalies - pathology ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - pathology ; Diagnosis, Differential ; Echocardiography ; Electrocardiography ; Endocardial Fibroelastosis - diagnosis ; Endocardial Fibroelastosis - pathology ; Female ; Heart Defects, Congenital - diagnosis ; Heart Defects, Congenital - pathology ; Humans ; Infant ; Male ; Mitral Valve Insufficiency - diagnosis ; Mitral Valve Insufficiency - pathology ; Pulmonary Artery - abnormalities ; Pulmonary Artery - diagnostic imaging ; Tomography, X-Ray Computed - methods
É parte de: Zhonghua er ke za zhi, 2014-05, Vol.52 (5), p.383
Descrição: To investigate the clinical manifestations and treatment of congenital atresia of the left main coronary artery (CLMCA-A). Four patients were diagnosed to have CLMCA-A from June 2010 to June 2012 in Beijing Anzhen Hospital. Clinical manifestations, ultrasound, ECG and angiographic characteristics were analyzed and summarized. Of the 4 cases, age of onset was 3 months to 2 yrs. Three cases were diagnosed by angiography, and 1 case by CTA . All 4 cases had chronic heart failure symptoms and signs, such as sweating, shortness of breath, easily choked by milk, predispose to pneumonia, activity intolerance. ECG showed abnormal Q wave and other ischemic signs such as ST-T segment depression. Ultrasonography showed left ventricular enlargement, left ventricular systolic function was normal or slightly reduced, and there was moderate to large amount of mitral valve regurgitation. Left ventricular trabeculations increased. Coronary collateral circulation increased. Left coronary artery appeared to be slender and disco
Editor: China
Idioma: Chinês

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Congenital atresia of left main coronary artery in 4 children: case report and literature review

Xiao, Yanyan ; Han, Ling ; Jin, Mei ; Ding, Wenhong

China

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