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肺动脉干游离及改良左主干逆行跨瓣途径技术。

Pulmonary Root Mobilization and Modified Lecompte Maneuver for Transseptal Course of the Left Main Coronary Artery.

机构信息

Division of Pediatric Cardiovascular Surgery, Masonic Children's Hospital, 5635University of Minnesota, Minneapolis, MN, USA.

Division of Pediatric Cardiology, Mayo Clinic, Rochester, MN, USA.

出版信息

World J Pediatr Congenit Heart Surg. 2020 Nov;11(6):792-796. doi: 10.1177/2150135120939462.

DOI:10.1177/2150135120939462
PMID:33164682
Abstract

Intraconal or transseptal course of the left main coronary artery is a rare form of coronary artery anomalies which has been linked to sudden death. We present details of the surgical technique that we used to address this challenging anomaly in two cases.

摘要

左主干冠状动脉的管腔内或穿过中隔的走行是一种罕见的冠状动脉异常形式，与猝死有关。我们介绍了在两例中处理这种具有挑战性的异常情况时所使用的手术技术细节。

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Pulmonary Root Mobilization and Modified Lecompte Maneuver for Transseptal Course of the Left Main Coronary Artery.肺动脉干游离及改良左主干逆行跨瓣途径技术。
World J Pediatr Congenit Heart Surg. 2020 Nov;11(6):792-796. doi: 10.1177/2150135120939462.
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Anomalous Origin of the Circumflex Coronary Artery From the Right Pulmonary Artery Associated With Anomalous Aortic Origin of the Right Coronary Artery: A Case Report of Surgical Treatment.右肺动脉异常起源于左旋支冠状动脉伴右冠状动脉异常起源于主动脉：手术治疗一例报告。
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Repair of anomalous left coronary artery from the right pulmonary artery.右肺动脉起源的异常左冠状动脉修复术。
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How to do it: repair of anomalous left coronary artery from pulmonary artery (ALCAPA) with coronary button transfer and Lecompte maneuver.操作方法：采用冠状动脉纽扣移植术及勒孔特手法修复左冠状动脉起源于肺动脉（ALCAPA）。
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引用本文的文献

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Transseptal coronary artery-a pictorial review.经间隔冠状动脉造影——图像综述
Pediatr Radiol. 2024 Jul;54(8):1261-1269. doi: 10.1007/s00247-024-05911-x. Epub 2024 Apr 19.
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Pathophysiology and Treatment of Intraseptal-Course Left Coronary Anomaly: Surgery for All?间隔内走行的左冠状动脉异常的病理生理学与治疗：都需要手术吗？
Pediatr Cardiol. 2025 Jan;46(1):4-13. doi: 10.1007/s00246-023-03328-1. Epub 2023 Nov 9.
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Not So Stable Angina: Single Coronary Artery Disease.不稳定型心绞痛：单支冠状动脉疾病
Cureus. 2022 Jan 26;14(1):e21625. doi: 10.7759/cureus.21625. eCollection 2022 Jan.