{"title":"左下肺叶全身动脉供应异常合并动肺静脉瘘1例超声心动图首次诊断。","authors":"Xiaohan Jiang, Junmei Guan, Shuhua Duan, Hao Wan","doi":"10.1007/s12055-025-01996-7","DOIUrl":null,"url":null,"abstract":"<p><p>A 5-year-old boy with a precordial murmur was initially diagnosed with anomalous systemic arterial (ASA) supply to the left lung lower lobe combined with arterial-pulmonary venous fistula (APVF) by transthoracic echocardiography (TTE), then evaluated by computed tomography angiography (CTA) and digital subtraction angiography (DSA). He received interventional therapy and recovered well. Although ASA supply to the lung lobes combined with APVF is usually diagnosed by CTA, it may also be first diagnosed by TTE in a patient who has a significant heart murmur. Careful TTE examination can improve the diagnostic rate of this cardiovascular abnormality.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 10","pages":"1493-1497"},"PeriodicalIF":0.6000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450170/pdf/","citationCount":"0","resultStr":"{\"title\":\"Anomalous systemic arterial supply to the left lower lung lobe combined with arterial-pulmonary venous fistula: a case first diagnosed by echocardiography.\",\"authors\":\"Xiaohan Jiang, Junmei Guan, Shuhua Duan, Hao Wan\",\"doi\":\"10.1007/s12055-025-01996-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>A 5-year-old boy with a precordial murmur was initially diagnosed with anomalous systemic arterial (ASA) supply to the left lung lower lobe combined with arterial-pulmonary venous fistula (APVF) by transthoracic echocardiography (TTE), then evaluated by computed tomography angiography (CTA) and digital subtraction angiography (DSA). He received interventional therapy and recovered well. Although ASA supply to the lung lobes combined with APVF is usually diagnosed by CTA, it may also be first diagnosed by TTE in a patient who has a significant heart murmur. Careful TTE examination can improve the diagnostic rate of this cardiovascular abnormality.</p>\",\"PeriodicalId\":13285,\"journal\":{\"name\":\"Indian Journal of Thoracic and Cardiovascular Surgery\",\"volume\":\"41 10\",\"pages\":\"1493-1497\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450170/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Thoracic and Cardiovascular Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s12055-025-01996-7\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/5 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Thoracic and Cardiovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12055-025-01996-7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/5 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Anomalous systemic arterial supply to the left lower lung lobe combined with arterial-pulmonary venous fistula: a case first diagnosed by echocardiography.
A 5-year-old boy with a precordial murmur was initially diagnosed with anomalous systemic arterial (ASA) supply to the left lung lower lobe combined with arterial-pulmonary venous fistula (APVF) by transthoracic echocardiography (TTE), then evaluated by computed tomography angiography (CTA) and digital subtraction angiography (DSA). He received interventional therapy and recovered well. Although ASA supply to the lung lobes combined with APVF is usually diagnosed by CTA, it may also be first diagnosed by TTE in a patient who has a significant heart murmur. Careful TTE examination can improve the diagnostic rate of this cardiovascular abnormality.
期刊介绍:
The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.