Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, 200 Lothrop Street, Suite C-700, Pittsburgh, PA, 15213, USA.
University of Pittsburgh Medical Center Heart and Vascular Institute, Pittsburgh, PA, USA.
J Cardiothorac Surg. 2022 Nov 18;17(1):291. doi: 10.1186/s13019-022-02035-x.
Anomalous coronary arteries arise in a small subset of the population, with each configuration conveying a varying degree of long-term risk. The utilization of cardiac grafts with these anomalies have not been well described.
An anomalous single coronary artery with the left main coronary artery arising from the right coronary ostium was discovered in a 40-year old male evaluated for cardiac donation. After evaluation, this heart was successfully procured and utilized for orthotopic heart transplantation.
In this report, we demonstrate that in select cases, a cardiac graft with single coronary artery anatomy can be successfully procured and transplanted with excellent outcomes.
异常的冠状动脉在一小部分人群中出现，每种构型都具有不同程度的长期风险。具有这些异常的心脏移植物的利用尚未得到很好的描述。
一名 40 岁男性因心脏捐献而接受评估，发现其存在左主干冠状动脉起源于右冠状动脉窦的异常单支冠状动脉。经过评估，成功获取并使用该心脏进行原位心脏移植。
在本报告中，我们证明在某些情况下，可以成功获取并移植具有单支冠状动脉解剖结构的心脏移植物，并且效果良好。
