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肺动脉异常起源的单一冠状动脉再植入术后晚期再次手术。

Late reoperation after reimplantation of an anomalous single coronary artery from the pulmonary artery.

机构信息

Division of Pediatric Cardiovascular Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.

出版信息

Ann Thorac Surg. 2010 Jan;89(1):285-7. doi: 10.1016/j.athoracsur.2009.05.013.

DOI:10.1016/j.athoracsur.2009.05.013
PMID:20103259
Abstract

A 14-year-old girl with an anomalous origin of a single coronary artery from the pulmonary artery, moderate mitral insufficiency, and an outlet ventricular septal defect, underwent direct reimplantation of the single coronary artery (SCA) to the aorta and closure of the ventricular septal defect at 6 months of age. She had stenosis of the proximal single coronary artery develop 14 years after the initial operation. A patch augmentation of her proximal SCA was successfully performed, and a postoperative coronary angiographic scan taken 3 months after her surgery showed a widely patent SCA without any residual narrowing.

摘要

一名 14 岁女孩,单一冠状动脉异常起源于肺动脉,二尖瓣中度关闭不全,室间隔流出道缺损,于 6 月龄时接受了单一冠状动脉(SCA)直接再植入主动脉和室间隔缺损修补术。初次手术后 14 年,她出现了近端 SCA 狭窄。成功地对她的近端 SCA 进行了补片加宽,术后 3 个月的冠状动脉造影扫描显示 SCA 通畅,无任何残余狭窄。

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