Zhang Changwei, Zhang Hao, Gao Huawei, Wang Xu, Liu Jinping, Wang Yuhong, Li Shoujun
Pediatric Cardiac Surgery Center, National Center for Cardiovascular Disease and Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
Pediatric Cardiac Surgery Center, National Center for Cardiovascular Disease and Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
Ann Thorac Surg. 2016 Jul;102(1):e49-50. doi: 10.1016/j.athoracsur.2015.11.071.
The origin of both coronary arteries from the pulmonary artery is generally a lethal condition from progressive heart failure. We report the clinical and surgical course in a child aged 18 months with this anomaly. The left ventricular ejection fraction was profoundly depressed. The common coronary trunk arose from the right anterior facing sinus. Direct coronary implantation to the aorta was used. The patient's left ventricular function improved to a nearly normal state at the 6-month follow-up visit.
两条冠状动脉均起源于肺动脉通常是一种因进行性心力衰竭导致的致命病症。我们报告了一名18个月大患有此异常的儿童的临床及手术过程。左心室射血分数严重降低。共同冠状动脉干起源于右前向窦。采用了将冠状动脉直接植入主动脉的方法。在6个月的随访中，患者的左心室功能改善至接近正常状态。
