Asano Miki, Ukai Tomohiko, Nomura Norikazu, Mishima Akira
Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
J Card Surg. 2013 Nov;28(6):767-9. doi: 10.1111/jocs.12205. Epub 2013 Aug 12.
Aortopulmonary window (APW) with an anomalous origin of a coronary artery is extremely rare. We report surgical management of a four-week-old infant with the association of a distal type of APW and an anomalous origin of the right coronary artery (RCA) from the pulmonary artery. Complete anatomical correction comprising division of the great arteries and transferring the RCA as an autologous flap to the aortic defect was successfully performed.
伴有冠状动脉异常起源的主肺动脉窗(APW)极为罕见。我们报告了一名4周龄婴儿的手术治疗情况,该婴儿患有远端型APW并伴有右冠状动脉(RCA)起源于肺动脉的异常情况。成功实施了包括大动脉离断以及将RCA作为自体瓣转移至主动脉缺损处的完全解剖矫正术。