Dhar Arushi, Aronowitz Danielle, Misra Nilanjana, Meyer David Benjamin
Department of Pediatric Cardiology, Cohen Children's Medical Center of New York, New Hyde Park, New York.
Hofstra Northwell School of Medicine, Hempstead, New York.
Ann Thorac Surg. 2017 Sep;104(3):e269-e270. doi: 10.1016/j.athoracsur.2017.03.031.
Studies regarding long-term results after repair of anomalous left main coronary artery from the pulmonary artery (ALCAPA) have mainly focused on survival rates, left ventricular function, and mitral valve function. The development of left main coronary stenosis following repair has been infrequently reported and its incidence unknown. Optimal therapy is also not known. Here we report the use of surgical angioplasty to achieve revascularization of a stenotic left main coronary artery in a patient with ALCAPA who had undergone coronary transfer 15 years earlier.
关于肺动脉起源异常左主冠状动脉（ALCAPA）修复术后长期结果的研究主要集中在生存率、左心室功能和二尖瓣功能上。修复术后左主冠状动脉狭窄的发生情况鲜有报道，其发生率也未知。最佳治疗方法也不清楚。在此，我们报告了一名15年前接受冠状动脉移植的ALCAPA患者，使用外科血管成形术实现狭窄左主冠状动脉血运重建的情况。
