Sacks J H, Londe S P, Rosenbluth A, Zalis E G
J Thorac Cardiovasc Surg. 1977 May;73(5):733-7.
This report describes the first saphenous vein bypass graft from the aorta to the left main coronary artery for an aberrant left main coronary artery arising from the anterior sinus of Valsalva. A 20-year-old college student had a cardiac arrest and documented ventricular fibrillation while jogging. He was resuscitated. An anomalous left main coronary artery, arising anteriorly from the right coronary sinus, was demonstrated at operation to be within the wall of the aorta. Following aorta--left main coronary artery bypass with the saphenous vein, results of a stress test were normal, and cardiac catheterization revealed the left coronary system to be entirely supplied by the graft.
本报告描述了首例经大隐静脉从主动脉至左主冠状动脉的旁路移植术，用于治疗起源于瓦尔萨尔瓦窦前窦的异常左主冠状动脉。一名20岁的大学生在慢跑时发生心脏骤停并记录到心室颤动。他被成功复苏。手术中发现一条异常的左主冠状动脉起源于右冠状动脉窦前方，位于主动脉壁内。在进行主动脉至左主冠状动脉大隐静脉旁路移植术后，负荷试验结果正常，心导管检查显示左冠状动脉系统完全由移植血管供血。
