Purut C M, Sabiston D C
Department of Surgery, Duke University Medical Center, Durham, NC 27710.
J Thorac Cardiovasc Surg. 1991 Oct;102(4):566-70.
Origin of the left coronary artery from the pulmonary artery is usually a serious clinical problem; untreated, it often causes death. Usually the condition becomes symptomatic early in life, but occasionally symptoms do not manifest until later in childhood. A smaller group will not have symptoms until early adulthood. Rarely, this lesion may be asymptomatic for decades. The reports in the literature and our experience with surgical correction of this condition in patients in their sixth and seventh decades of life are described. One patient is the oldest reported in the world literature to have this condition.
左冠状动脉起源于肺动脉通常是一个严重的临床问题；若不治疗，常导致死亡。通常这种情况在生命早期就会出现症状，但偶尔症状直到童年后期才会显现。一小部分人直到成年早期才会出现症状。极少数情况下，这种病变可能几十年都没有症状。本文描述了文献中的报道以及我们对六七十岁患者进行这种疾病手术矫正的经验。一名患者是世界文献中报道的患有这种疾病的年龄最大的患者。
