Jaggers James, Lodge Andrew J
Department of Pediatric Cardiovascular Surgery, Duke University Medical Center, Durham, NC 27710, USA.
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2005:122-7. doi: 10.1053/j.pcsu.2005.01.004.
Anomalous aortic origin of the coronary arteries is a rare defect and is associated with an increased risk of cardiac symptoms including sudden death. The most important subtypes are those in which the anomalous coronary artery arises from the wrong sinus as in anomalous left main coronary artery from the right sinus and anomalous right coronary artery from the left sinus. Ischemia can result when the flap-like orifice becomes obstructed, usually during exercise. Indications for surgical intervention are evolving. Currently, the favored approach for repair is an unroofing type of procedure that results in relocation of the coronary artery into the appropriate sinus of Valsalva.
冠状动脉异常起源是一种罕见的缺陷，与包括猝死在内的心脏症状风险增加有关。最重要的亚型是异常冠状动脉起源于错误的窦，如右窦发出异常左主干冠状动脉和左窦发出异常右冠状动脉。当瓣状开口通常在运动期间受阻时，可导致缺血。手术干预的指征在不断演变。目前，首选的修复方法是一种开窗型手术，该手术可使冠状动脉重新定位到合适的主动脉窦。
