Jin Yao Dong, Hsiung Ming C, Tsai Shen Kou, Chang Chung-Yi, Wei Jeng, Ou Ching-huei, Chang Yi Cheng, Lee Kuo Chen, Sue Sung-How
Cardiovascular Center, Cheng-Hsin General Hospital, Taipei, Taiwan.
Echocardiography. 2011 Aug;28(7):E149-51. doi: 10.1111/j.1540-8175.2011.01425.x. Epub 2011 May 12.
Anomalous origin of the left coronary artery (LCA) from the pulmonary artery (ALCAPA) is a rare congenital defect that presents only infrequently in adults. An adult diagnosed with ALCAPA, heart failure, and mitral regurgitation underwent surgical ligation of the anomalous origin of the LCA from the pulmonary artery (PA) and coronary artery bypass grafting (CABG). The anomalous origin in the PA and proximal segment of the left anterior descending artery (LAD) was successfully delineated via real time, three-dimensional transesophageal echocardiography during surgery. This modality allows for fast assessment and novel views of complex cardiac abnormalities and can aid in perioperative monitoring.
左冠状动脉（LCA）起源于肺动脉（ALCAPA）是一种罕见的先天性缺陷，在成人中很少见。一名被诊断为ALCAPA、心力衰竭和二尖瓣反流的成年人接受了手术结扎LCA从肺动脉（PA）的异常起源以及冠状动脉旁路移植术（CABG）。在手术过程中，通过实时三维经食管超声心动图成功地描绘了PA和左前降支（LAD）近端的异常起源。这种方式能够快速评估复杂心脏异常并提供新的视角，有助于围手术期监测。
