Symptomatic Myocardial Bridging in D-Transposition of the Great Arteries Post-Arterial Switch.

大动脉转换后 D - 转位中的症状性心肌桥接。

• 发表时间: Feb 2023 15
• 来源期刊: JACC Case Rep
• DOI: 10.1016/j.jaccas.2022.101730
• PMID: 36860558
• 文章类型: Case Reports
• 作者列表: Vaikunth SS,Murphy DJ,Tremmel JA,Schnittger I,Mitchell RS,Maeda K,Rogers IS

关键词: ASO, arterial switch operation; CCTA, coronary computed tomography angiography; FFR, fractional flow reserve; IVUS, intravascular ultrasound; LAD, left anterior descending artery; SPECT, single-photon emission computed tomography; chest pain; coronary vessel anomaly; d-TGA, dextro-transposition of the great arteries; dFFR, diastolic fractional flow reserve; transposition of the great arteries

Abstract

We present Stanford\'s experience with patients post-arterial switch operation presenting with chest pain found to have hemodynamically significant myocardial bridging. The evaluation of symptomatic patients post-arterial switch should not only include assessment for coronary ostial patency but also for nonobstructive coronary conditions such as myocardial bridging. (Level of Difficulty: Advanced.).

摘要

我们介绍了Stanford对动脉转换手术后出现胸痛的患者的经验，这些患者发现具有血液动力学意义的心肌桥。对动脉转换后有症状患者的评估不仅应包括对冠状动脉口通畅性的评估，还应包括对非阻塞性冠状动脉状况的评估，例如心肌桥。（难度等级：高级。).