论文部分内容阅读
临床资料患儿女,2.3岁。发现心脏杂音1年余。查体:发育正常,神志清楚,步入病房。胸骨右缘第3~4肋间可闻及3/6级连续性杂音,肺动脉瓣第二心音稍增强。经胸心脏彩色超声心动图提示:右冠状动脉左心房瘘,左心房未见附壁血栓及赘生物。胸部CT血管成像示:右侧冠状动脉与左心房相通,直径约11.7 mm。于2013年5月在全身麻醉下行冠状动脉瘘管结扎术。术
Clinical data Children, 2.3 years old. Heart murmur more than 1 year. Physical examination: normal development, conscious, into the ward. Right intervertebral sternal third to fourth intercostal can be heard and 3/6 consecutive murmur, pulmonary heart valve second heart sound slightly enhanced. Trans-thoracic cardiac color echocardiography Tip: Right coronary artery left atrial fistula, left atrium without wall thrombosis and neoplasm. Chest CT angiography showed: the right coronary artery and the left atrium communicating with a diameter of about 11.7 mm. In May 2013 under general anesthesia coronary artery fistula ligation. Surgery