Importance of eval uation of the right coronary artery by two-dimensional echocardiograph y in patients after Kawasaki diseas e : a right parasternal approach
Importance of eval uation of the right coronary artery by two-dimensional echocardiograph y in patients after Kawasaki diseas e : a right parasternal approach
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川崎病后患者通过二维超声心动图评估右冠状动脉的重要性：右胸骨旁入路
DOI：
10.1007/s00380-014-0476-9
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Fujieda M.
中科院分区：
文献类型：
--
作者：
Tamaki W;Tsuda E;Igarashi T;Tana ka N;Fujieda M.
我们报告了在川崎急性期应用二维超声心动图（2DE）评价右冠状动脉（RCA）的重要性，基于我们对3例在川崎病急性期遗漏了累及RCA的冠状动脉病变（CAL）的患者的经验。2例患者出现无症状RCA闭塞，推测1例患者因RCA CAL导致心脏骤停。3例患者III导联Q波异常均提示RCA狭窄病变。由于2DE在晚期难以诊断CAL，因此必须在患者右侧卧位时使用右侧胸骨旁入路识别RCA近端。
We report the importance of evaluating the right coronary artery (RCA) by two-dimensional echocardiography (2DE) in the acute phase of Kawasaki disease (KD), based on our experience with three patients whose coronary artery lesions (CAL) involving the RCA were missed in the acute phase of KD. Two patients had asymptomatic occlusion of the RCA, and it was speculated that one patient had a cardiac arrest due to CAL of the RCA. An abnormal Q wave in lead III in all 3 patients had indicated stenotic lesions of the RCA. Because it is difficult to diagnose CAL by 2DE in the late period, it is essential to identify the proximal RCA using a right parasternal approach while the patient is lying in the right lateral position.