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一名65岁患者的左冠状动脉从肺动脉再植术。

Reimplantation of left coronary artery from pulmonary artery in a 65-year-old.

作者信息

Mitchell Julia, Lemaire Anaïs, Henaine Roland, Metton Olivier, Ninet Jean

机构信息

Cardio-Pediatric and Congenital Medico-Surgical Department C, Cardiologic Hospital Louis Pradel, Lyon, France

Cardio-Pediatric and Congenital Medico-Surgical Department C, Cardiologic Hospital Louis Pradel, Lyon, France.

出版信息

Asian Cardiovasc Thorac Ann. 2016 Jan;24(1):69-71. doi: 10.1177/0218492314539953. Epub 2014 Jun 19.

DOI:10.1177/0218492314539953
PMID:24948780
Abstract

Anomalous left coronary artery to the pulmonary artery is a rare pathology with a mortality rate of 90% in the first year of life, directly related to left ventricular function and coronary perfusion, although several adult cases have been reported. Surgical correction consists of ligation of the anomalous left coronary artery associated with coronary artery bypass grafting. We describe the exceptional case of a 65-year-old woman who underwent reimplantation of the left coronary artery in the anatomical position without bridging.

摘要

异常左冠状动脉连接至肺动脉是一种罕见的病理情况,在生命的第一年死亡率为90%,这与左心室功能和冠状动脉灌注直接相关,尽管已有数例成人病例报道。手术矫正包括结扎异常左冠状动脉并进行冠状动脉搭桥术。我们描述了一例特殊病例,一名65岁女性在未进行搭桥的情况下,将左冠状动脉重新植入到解剖位置。

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