Bogers A J, Quaegebeur J M, Huysmans H A
Department of Thoracic Surgery, University Hospital, Leiden, The Netherlands.
J Cardiovasc Surg (Torino). 1988 May-Jun;29(3):339-42.
Four patients are described with an anomalous origin of the left coronary artery from the pulmonary artery. Three were treated by ligation of the abnormal left coronary artery at its anomalous origin; one of them died during surgery. One patient was treated with reimplantation of the left coronary artery into the aorta. Of the survivors 2 are in normal health, but 1 developed aortic valve incompetence after reimplantation of the left coronary artery into the aorta and 1 had persistent left ventricular wall motion abnormalities and developed mitral valve prolapse. The third survivor has impaired health with diffuse left ventricular wall motion abnormality. Careful follow-up after surgery for an anomalous left coronary artery arising from the pulmonary artery is necessary for secondary prevention of problems due to incomplete recovery of myocardium or problems as a consequence of surgical therapy.
本文描述了4例左冠状动脉起源于肺动脉的病例。3例患者在异常左冠状动脉的异常起源处进行了结扎治疗；其中1例在手术中死亡。1例患者接受了左冠状动脉再植入主动脉的治疗。在幸存者中，2例健康状况正常，但1例在左冠状动脉再植入主动脉后出现主动脉瓣关闭不全，1例持续存在左心室壁运动异常并出现二尖瓣脱垂。第3例幸存者健康状况受损，有弥漫性左心室壁运动异常。对于起源于肺动脉的异常左冠状动脉手术后进行仔细随访，对于心肌不完全恢复或手术治疗导致的问题进行二级预防是必要的。
