Bonchek L I
Ann Thorac Surg. 1976 May;21(5):451-3. doi: 10.1016/s0003-4975(10)63899-4.
An anomalous anterior descending coronary artery that arises from the right coronary and crosses the right ventricle outflow tract can compromise corrective operations for tetralogy of Fallot. The only safe method of outflow tract reconstruction reported until now is the use of a tubular graft from the right ventricle to the pulmonary artery. We report successful reconstruction of the outflow tract by placing a standard fabric path under the mobilized anomalous coronary artery. This technique should avoid the late complications of tubular conduits by preserving the natural posterior wall of the outflow tract for growth.
一条起源于右冠状动脉并横跨右心室流出道的异常前降支冠状动脉可能会影响法洛四联症的矫正手术。迄今为止报道的唯一安全的流出道重建方法是使用从右心室到肺动脉的管状移植物。我们报告了通过在游离的异常冠状动脉下方放置标准织物路径成功重建流出道的情况。该技术通过保留流出道的天然后壁以供生长，应可避免管状管道的晚期并发症。
