Bruhin R, Stock U A, Breuer M, Wahlers Th
Department of Cardiothoracic and Vascular Surgery, Friedrich-Schiller-University Jena, Bachstrasse 18, 07743 Jena, Germany.
Interact Cardiovasc Thorac Surg. 2004 Sep;3(3):434-6. doi: 10.1016/j.icvts.2004.02.020.
In a male patient, presenting with progressive angina refractory to medical treatment, a solitary aneurysm of the left main coronary artery without fistula, a 2 cm large atrial septal defect (ASD) and a persisting left superior caval vein were diagnosed. Successful resection with subsequent in situ repair by vein grafting of the left anterior descending artery and the circumflex coronary artery system and direct closure of the ASD are described.
在一名男性患者中，该患者表现为药物治疗难以控制的进行性心绞痛，诊断发现其左主冠状动脉存在一个无瘘的孤立性动脉瘤、一个2厘米大的房间隔缺损（ASD）以及一条持续存在的左上腔静脉。本文描述了成功切除该动脉瘤，并随后通过左前降支动脉和冠状动脉回旋支系统的静脉移植进行原位修复以及直接闭合房间隔缺损的过程。
