Clinical investigation of aortopulmonary collateral arteries
10.3969/j.issn.1000-3606.2018.02.009
- VernacularTitle:主-肺动脉侧枝血管137例临床分析
- Author:
Yan YANG
1
;
Gengsheng YU
Author Information
1. 重庆医科大学附属儿童医院心内科 儿童发育疾病研究教育部重点实验室 儿科学重庆市重点实验室 儿童发育重大疾病国家国际科技合作基地 重庆 400014
- Keywords:
aortopulmonary collateral arteries;
misdiagnosis analysis;
child
- From:
Journal of Clinical Pediatrics
2018;36(2):126-130
- CountryChina
- Language:Chinese
-
Abstract:
Objectives To investigate the clinical manifestation and distribution characteristics of aortopulmonary collateral arteries (APCAs) without cyanotic congenital heart defect, and to analyze the reason of misdiagnosis. Methods The clinical data of 137 APCAs patients without cyanotic congenital heart defect in our hospital from April, 2009 to October, 2010 were reviewed. Clinical characteristics, radiographic findings were analyzed. Results In 137 patients, 99 were combined with pulmonary diseases, 115 cases with heart diseases. Six cases were misdiagnosed in 137 patients. Three cases were misdiagnosed as patent ductus arteriosus. One case was misdiagnosed as cardiomyopathy. One case was misdiagnosed as pulmonary tuberculosis. One case was prolonged the time of antituberculosis therapy because of the lung lesion. There were 130 APCAs (94.9%) originated from descending aorta, five (3.6%) from subclavian artery, one (0.73%) from intercostals artery, one (0.73%) from vertebral artery. Conclusions APCAs exist in the patients without cyanotic congenital heart defect, and APCAs will be narrowed and blocked gradually after birth. However, certain predisposing factors sustain APCAs and increase the pulmonary flow. Patients with APCAs combined with pulmonary disease or heart diseases may be misdiagnosed or diagnosed as a specific disease. Early diagnosis and treatment is critical to prognosis.
