冠状动脉异常起源于对侧主动脉窦的诊断与治疗  

Diagnosis and treatment of anomalous aortic origin of a coronary artery from the opposite sinus

作　　者：王树水[1] 韩咏 Wang Shu-shui;Han Yong(Department of Pediatric Cardiology,Guangdong Cardiovascular Institute,Guangdong General Hospital,Guangdong Academy of Medical Sciences,Guangdong Provincial Key Laboratory of South China Structural Heart Disease,Guangzhou 510100,China（Wang SS;Department of Pediatrics,Liuzhou Maternal and Child Care Hospital,Liuzhou 545001,Gnan-gxi Zhnang Autonomous Regian,China（Han Y)

机构地区：[1]广东省心血管病研究所广东省人民医院广东省医学科学院华南结构性心脏病重点实验室心儿科,广州510100 [2]柳州市妇幼保健院儿内科,545001

出　　处：《中华实用儿科临床杂志》2018年第13期970-973,共4页Chinese Journal of Applied Clinical Pediatrics

摘　　要：冠状动脉异常起源于对侧主动脉窦（AAOCA）是先天性冠状动脉畸形的一种，是一种可致心源性晕厥，甚至心源性猝死的冠状动脉畸形，而这种恶性心血管事件常以运动为诱因，多见于青少年及年轻人。近年来，年轻运动员在比赛中猝死的报道日益增加，并引发普遍关注。现介绍AAOCA的概念、分型、临床表现、诊断和处理策略。Anomalous aortic origin of a coronary artery from the opposite sinus （AAOCA） is one of the congenital coronary artery malformations that might cause syncope, myocardial ischemia and sudden cardiac death （SCD） , particularly in adolescents and young people. The most important inducing factor of myocardial ischemia and syncope is strenuous exercise. In recent years, more and more young athletes SCD events have been reported, and SCD related to AAOCA is now becoming the hot issue of common concern. Now, the concept, classification, clinical manifestations, diagnosis, and treatment strategies of AAOCA were introduced.

关 键 词：冠状动脉起源异常 运动性晕厥 心脏猝死 青少年 

分 类 号：R541.1[医药卫生—心血管疾病]