Karl Tom R, Provenzano Sylvio C J, Nunn Graham R
Department of Cardiac Surgery, Queensland Paediatric Cardiac Service, Mater Children's Hospital, Brisbane, Australia.
Cardiol Young. 2010 Dec;20 Suppl 3:44-9. doi: 10.1017/S1047951110001083.
The most commonly reported coronary arterial malformation, in accounts of sudden deaths, is anomalous aortic origin of a coronary artery. Anomalous coronary arteries may arise from the left, right, or non-coronary sinuses of Valsalva. Importantly, although the left coronary artery from the right sinus has the worst prognosis, sudden death has been reported in all variants of origin from the various sinuses of Valsalva. This paper describes a technique that addresses all of the problems relating to anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva. This technique includes the transection of the ascending aorta and pulmonary trunk, coronary arterial enlargement with a pericardial patch, and lateral translocation of the pulmonary trunk to the left pulmonary artery. Anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva is a potentially lethal cardiac anomaly that can be corrected in all cases using this simplified surgical technique that addresses the major anatomic and physiological problems.
在猝死病例报告中，最常报道的冠状动脉畸形是冠状动脉起源于主动脉异常。异常冠状动脉可能起源于瓦尔萨尔瓦窦的左、右或无冠状动脉窦。重要的是，尽管起源于右窦的左冠状动脉预后最差，但据报道，瓦尔萨尔瓦窦各个窦的所有起源变异都有猝死发生。本文描述了一种技术，该技术解决了与冠状动脉起源于瓦尔萨尔瓦错误窦的主动脉异常相关的所有问题。该技术包括升主动脉和肺动脉干横断、用心包补片扩大冠状动脉、以及将肺动脉干向左侧肺动脉横向移位。冠状动脉起源于瓦尔萨尔瓦错误窦的主动脉异常是一种潜在致命的心脏畸形，使用这种简化的手术技术可以在所有病例中纠正，该技术解决了主要的解剖和生理问题。
