di Carlo D, De Nardo D, Ballerini L, Marcelletti C
J Thorac Cardiovasc Surg. 1987 Mar;93(3):468-70.
Inadvertent transection of an anomalous left coronary artery, which originated from the right coronary artery, occurred during repair of tetralogy of Fallot in a 2-year-old child. An aorta-coronary bypass graft was constructed with a size 4 polytetrafluoroethylene conduit. Early recatheterization showed patency of the polytetrafluoroethylene graft, but a myocardial scintiscan done 3 months after operation demonstrated reduced perfusion of the areas supplied by the left coronary system. Preoperative aortography or selective coronary angiography is mandatory to avoid this potentially lethal complication. Future surgical options are discussed.
一名2岁儿童在法洛四联症修复手术期间，意外横断了起源于右冠状动脉的异常左冠状动脉。使用4号聚四氟乙烯导管构建了主动脉-冠状动脉旁路移植术。早期再次导管检查显示聚四氟乙烯移植物通畅，但术后3个月进行的心肌闪烁扫描显示左冠状动脉系统供血区域的灌注减少。术前主动脉造影或选择性冠状动脉造影对于避免这种潜在致命并发症是必不可少的。讨论了未来的手术选择。
