Kashima Ichiro, Fukuda Toyoki, Suzuki Takaaki
Department of Cardiovascular Surgery, Tokyo Metropolitan Kiyose Children's Hospital, 1-3-1, Umezono, Kiyose, Tokyo 204-8567, Japan.
Jpn J Thorac Cardiovasc Surg. 2002 Oct;50(10):445-7. doi: 10.1007/BF02913181.
A 6-month-old boy was admitted in acute distress because of severe dyspnea and intractable congestive heart failure. With a diagnosis of the ventricular septal defect, pulmonary hypertension and deteriorated lung function due to the respiratory syncytial virus infection, he was taken to the operating room to undergo banding of the pulmonary artery. However, an intraoperative finding of the anomalous high take-off from the right coronary artery made us to discontinue the banding procedure. After intensive medical management, he underwent a successful surgical repair of the defect with no ischemic injury to the myocardium. Congenital cardiac defects having this particular subset of anomalies of the coronary artery need to be repaired primarily since the palliative procedure near the anomalous coronary artery has a potential hazard to compromise the flow of blood through this artery.
一名6个月大的男婴因严重呼吸困难和顽固性充血性心力衰竭而紧急入院。诊断为室间隔缺损、肺动脉高压以及因呼吸道合胞病毒感染导致的肺功能恶化，他被送往手术室进行肺动脉束带术。然而，术中发现右冠状动脉异常高位起始，这使我们中止了束带手术。经过强化药物治疗后，他成功接受了缺损修补手术，心肌未出现缺血性损伤。具有这种特殊冠状动脉异常子集的先天性心脏缺陷需要首先进行修复，因为在异常冠状动脉附近进行姑息手术有潜在风险，可能会影响该动脉的血流。
