Guerrero Rafael R, Wilkinson James L, Brizard Christian P
Department of Cardiac Surgery, Royal Children's Hospital, Flemington Road, Parkville, Melbourne, Vic. 3052, Australia.
Eur J Cardiothorac Surg. 2005 May;27(5):927-9. doi: 10.1016/j.ejcts.2005.02.012.
We report the case of a 3-month-old infant with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) with absent left main coronary artery (LMCA). She underwent repair by reimplantation technique with the construction of a short LMCA using two opposite flaps. Two months later she was re-admitted in cardiac failure. Occlusion of the reconstructed LMCA was found by angiogram. At reoperation the right subclavian artery was used as a free interposition graft to reconstruct the LMCA. The post-operative course was uneventful. At 8 months she was asymptomatic and LMCA patency was demonstrated by angiogram.
我们报告了一例3个月大的婴儿，其左冠状动脉起源于肺动脉（ALCAPA）且左主冠状动脉（LMCA）缺如。她接受了再植技术修复，使用两个相对的皮瓣构建了一条短的LMCA。两个月后，她因心力衰竭再次入院。血管造影发现重建的LMCA闭塞。再次手术时，使用右锁骨下动脉作为游离移植血管来重建LMCA。术后过程顺利。8个月时，她无症状，血管造影显示LMCA通畅。
