Matsuda Hikaru, Ichikawa Hajime, Iwai Shigemitsu, Takahashi Toshiki
Department of Surgery, Osaka University, Suita, Japan.
Ann Thorac Surg. 2002 Nov;74(5):1687-9. doi: 10.1016/s0003-4975(02)03956-5.
The abnormality of coronary arterial take-off is a limiting factor for a successful aortic valve sparing procedure. We present a 13-year-old boy, with Marfan syndrome and annuloaortic ectasia, whose coronary take-off was found to be abnormal during surgery. Two adjacent coronary orifices were located in the left coronary sinus and very close to the right-left commissure. A modified aortic remodeling procedure was successfully performed without translocation of the coronary artery.
冠状动脉起始异常是成功实施保留主动脉瓣手术的一个限制因素。我们报告一名13岁患有马凡综合征和主动脉瓣环扩张的男孩，其在手术过程中被发现冠状动脉起始异常。两个相邻的冠状动脉口位于左冠状动脉窦内，且非常靠近左右交界处。成功实施了改良主动脉重塑手术，未进行冠状动脉移位。
