Department of Surgery, 70083University of California, Davis, Sacramento, CA, USA.
Department of Cardiothoracic Surgery, 19892David Grant USAF Medical Center, Travis AFB, Fairfield, CA, USA.
World J Pediatr Congenit Heart Surg. 2020 Nov;11(6):765-775. doi: 10.1177/2150135120938705.
Anomalous origin of the circumflex or left anterior descending artery from the pulmonary artery (ACxAPA and ALADAPA, respectively) are rare congenital coronary anomalies with clinical presentation varying from an asymptomatic murmur to sudden cardiac arrest. A systematic review was performed, and 46 cases of ACxAPA and 51 cases of ALADAPA were identified in 87 articles. Data were collected and analyzed from each case. A better understanding of ACxAPA/ALADAPA can provide information to providers who encounter this lesion as well as provide insight into coronary artery development which may help in the understanding of coronary artery anomalies.
起源于肺动脉的左旋支或左前降支（分别为 ACxAPA 和 ALADAPA）的异常是罕见的先天性冠状动脉异常，临床表现从无症状杂音到心脏骤停不等。进行了系统评价，在 87 篇文章中确定了 46 例 ACxAPA 和 51 例 ALADAPA。从每个病例中收集和分析数据。更好地了解 ACxAPA/ALADAPA 可以为遇到这种病变的提供者提供信息，并深入了解冠状动脉发育，这可能有助于理解冠状动脉异常。
