Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
J Card Surg. 2020 Nov;35(11):3244-3247. doi: 10.1111/jocs.14976. Epub 2020 Aug 25.
The prevalence of anomalous origin of coronary artery in tetralogy of Fallot has been reported to be around 4% to 6%. The association of high take-off of the right coronary artery from the distal part of the ascending aorta in tetralogy of Fallot in the presence of a partial anomalous pulmonary venous connection (PAPVC) to the left superior caval vein draining into the left atrium is not known to the best of our knowledge. We herein describe such a case when the anomalous right coronary artery and the PAPVC were detected incidentally during intracardiac repair; signifying the importance of a thorough assessment of the anatomy before surgery.
据报道，法洛四联症中异常起源的冠状动脉的患病率约为 4%至 6%。在法洛四联症中，右冠状动脉从升主动脉的远端高起点与部分性肺静脉异常连接（PAPVC）至左上腔静脉引流至左心房之间的关联，据我们所知尚不清楚。我们在此描述了这样一个病例，即在心脏内修复过程中偶然发现异常的右冠状动脉和 PAPVC；这表明在手术前进行彻底的解剖评估非常重要。
