Binsalamah Ziyad M, Lara Diego A, McKenzie Emmett D
1Michael E. DeBakey Department of Surgery,Division of Congenital Heart Surgery,Baylor College of Medicine,Houston,Texas,United States of America.
2Division of Pediatric Cardiology,Texas Children's Hospital,Baylor College of Medicine,Houston,Texas,United States of America.
Cardiol Young. 2017 Nov;27(9):1853-1856. doi: 10.1017/S1047951117001317. Epub 2017 Jun 27.
Anomalous origin of the left coronary artery from the right pulmonary artery in single ventricles is a very rare congenital anomaly. Failure to recognise it preoperatively may lead to adverse outcomes, including death. We report the case of a neonate with a univentricular heart in the form of a double-outlet right ventricle, mitral atresia with discrete coarctation of the aorta, and an incidental intraoperative finding of an anomalous origin of the left coronary artery from the right pulmonary artery. The patient underwent a successful repair with an uneventful postoperative course.
单心室中左冠状动脉起源于右肺动脉是一种非常罕见的先天性异常。术前未能识别可能导致不良后果，包括死亡。我们报告一例新生儿病例，其心脏为单心室，表现为右心室双出口、二尖瓣闭锁合并主动脉局限性缩窄，术中意外发现左冠状动脉起源于右肺动脉。该患者接受了成功的修复手术，术后恢复顺利。
