Section of Cardiac Surgery, 2462University of Chicago, Chicago, IL, USA.
Pediatric Cardiac Surgery, 21880Advocate Children's Hospital, Oak Lawn, IL, USA.
World J Pediatr Congenit Heart Surg. 2022 Jul;13(4):532-535. doi: 10.1177/21501351221100141. Epub 2022 May 16.
A female presented 2 weeks after birth with an unbalanced atrioventricular canal, double outlet right ventricle, mild pulmonary stenosis, and patent ductus arteriosus that eventually caused pulmonary over circulation. After pulmonary artery banding, she experienced myocardial ischemia, suggesting interference with coronary blood flow by the band that had been placed on the main pulmonary trunk. The band was removed and revised to bilateral branch pulmonary artery banding, and cardiac function improved. An anomalous left coronary artery from the underside of the right pulmonary artery was identified. Eight weeks later, the patient underwent coronary transfer and reimplantation of the left coronary artery into the aorta followed by main pulmonary artery banding. She subsequently underwent bidirectional Glenn.
一名女性出生后 2 周出现房室管不平衡、右心室双出口、轻度肺动脉瓣狭窄和动脉导管未闭，最终导致肺循环过度。行肺动脉环缩术后，她出现心肌缺血，提示主肺动脉上放置的环缩带干扰了冠状动脉血流。带被移除并修改为双侧肺动脉分支环缩术，心功能得到改善。发现左冠状动脉异常起源于右肺动脉下方。8 周后，患者行冠状动脉转移和左冠状动脉再植入主动脉，随后行双向 Glenn 手术。
