Sakakura Reo, Ueyama Katsushi, Murakami Arata
Department of Cardiovascular Surgery, Kanazawa Cardiovascular Hospital, Kanazawa, Japan.
Kyobu Geka. 2020 Apr;73(4):316-319.
Anomalous left coronary artery from the pulmonary artery (ALCAPA) is an uncommon congenital heart disease. Such anomaly causes myocardial ischemia, heart failure, and sudden death. Most of such cases require surgical intervention. We report a successful surgical correction for ALCAPA in an adult. A 31-year-old woman with progressive exertional dyspnea was referred to our institution because of abnormal electrocardiogram showing ST depression( V3-V6). Computed tomography revealed the left main trunk (LMT) arising at the right lateral wall of the main pulmonary trunk. Interposition of a saphenous vein graft was performed between the ascending aorta and the LMT. The postoperative course was uneventful.
起源于肺动脉的异常左冠状动脉（ALCAPA）是一种罕见的先天性心脏病。这种异常会导致心肌缺血、心力衰竭和猝死。大多数此类病例需要手术干预。我们报告了一例成人ALCAPA的成功手术矫正病例。一名31岁女性，因进行性劳力性呼吸困难就诊于我院，其心电图显示ST段压低（V3-V6）异常。计算机断层扫描显示左主干（LMT）起源于主肺动脉的右外侧壁。在升主动脉和LMT之间进行了大隐静脉移植。术后过程顺利。
