Abstract:
:A 41-year-old woman with no modifiable coronary risk factors presented with a progressive exertional dyspnea. Chest radiography showed an enlarged cardiac silhouette with reinforced pulmonary vasculature in bilateral lower lung fields and both pleural effusion. Echocardiography revealed a dilated, globally hypokinetic left ventricle with an ejection fraction of 40%. Multislice cardiac computed tomography revealed abnormal origin of LCA from the main pulmonary artery receiving collaterals from a normally originating dilated tortuous right coronary artery. Coronary angiography revealed a single, large, and tortuous RCA arising from the right sinus of Valsalva and giving off extensive collateral vessels coursing over the right ventricular wall, the interventricular septum, and the apex to the left coronary artery that was drained into the proximal main pulmonary. The diagnosis of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) was confirmed. The patient underwent successful reimplantation of LCA to aorta after closure of the ostium (in the main pulmonary artery) of the anomalously originating LCA. After surgical and medical treatment, the patient's symptoms were relieved and both pleural effusions were improved on chest radiography. After then, the patient was discharged on medication.
journal_name
Int J Cardioljournal_title
International journal of cardiologyauthors
Kang WC,Chung WJ,Choi CH,Park KY,Jeong MJ,Ahn TH,Shin EKdoi
10.1016/j.ijcard.2006.07.194subject
Has Abstractpub_date
2007-02-07 00:00:00pages
e63-7issue
2eissn
0167-5273issn
1874-1754pii
S0167-5273(06)01052-7journal_volume
115pub_type
信件abstract:BACKGROUND:Cardiac memory, electrophysiological remodeling induced by periods of altered ventricular activation, has been observed after resumption of normal activation following ablation of overt accessory pathways. We studied the occurrence and temporal characteristics of cardiac memory (inferior T wave inversions) a...
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journal_title:International journal of cardiology
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更新日期:2008-09-16 00:00:00
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pub_type: 杂志文章
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更新日期:2008-04-25 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2017-05-15 00:00:00
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更新日期:1995-07-01 00:00:00
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更新日期:2018-11-15 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijcard.2012.09.064
更新日期:2013-09-20 00:00:00
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doi:10.1016/j.ijcard.2004.03.006
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更新日期:2007-02-07 00:00:00
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更新日期:1996-08-01 00:00:00
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更新日期:2016-11-15 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
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更新日期:2011-08-04 00:00:00
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更新日期:2008-04-10 00:00:00
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更新日期:2016-07-15 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
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更新日期:2007-05-31 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2018-09-15 00:00:00