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左冠状动脉异常起源于肺动脉的外科重建。

Surgical Reconstruction of the Anomalous Left Coronary Artery From the Pulmonary Artery.

机构信息

Department of Cardiac Surgery, Dedinje Cardiovascular Institute, Belgrade, Serbia.

School of Medicine, University of Belgrade, Belgrade, Serbia.

出版信息

Tex Heart Inst J. 2023 Jan 1;50(1). doi: 10.14503/THIJ-21-7817.

DOI:10.14503/THIJ-21-7817
PMID:36735611
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9969781/
Abstract

The anomalous left coronary artery from the pulmonary artery is a rare congenital disease. Early surgical reconstruction is mandatory to prevent adverse cardiac events. Direct coronary button transfer, vein graft interposition, ligation, and coronary artery bypass construction are the most commonly used techniques. This case report presents a modified technique of Dacron graft interposition and reimplantation anomalous left coronary artery from the pulmonary artery on the ascending aorta.

摘要

动脉发自肺动脉的先天性冠状动脉异常是一种罕见的疾病。为了预防不良心脏事件,早期进行手术重建是强制性的。最常使用的技术包括直接冠状动脉吻合、静脉桥旁路、结扎和冠状动脉旁路构建。本病例报告介绍了一种改良的技术,即用涤纶移植物桥接和重新植入发自肺动脉的异常左冠状动脉到升主动脉。

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本文引用的文献

1
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) diagnosed in children and adolescents.儿童和青少年中诊断出的左冠状动脉起源于肺动脉异常(ALCAPA)。
J Cardiothorac Surg. 2020 May 12;15(1):90. doi: 10.1186/s13019-020-01116-z.
2
Adult ALCAPA: from histological picture to clinical features.成人左冠状动脉起源异常:从组织学图像到临床特征
J Cardiothorac Surg. 2020 Jan 13;15(1):14. doi: 10.1186/s13019-020-1048-y.
3
Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA).成人左冠状动脉起源于肺动脉(ALCAPA)时将左冠状动脉直接重新植入主动脉
J Vis Exp. 2017 Apr 24(122):55590. doi: 10.3791/55590.
4
Surgical strategies for anomalous origin of coronary artery from pulmonary artery in adults.成人冠状动脉发自肺动脉的手术策略。
J Thorac Cardiovasc Surg. 2014 Jul;148(1):220-4. doi: 10.1016/j.jtcvs.2013.08.026. Epub 2013 Sep 27.
5
Midterm experience with modified Cabrol procedure: safe and durable for complex aortic root replacement.改良 Cabrol 手术的中期经验:用于复杂主动脉根部替换术安全且持久。
J Thorac Cardiovasc Surg. 2014 Apr;147(4):1233-9. doi: 10.1016/j.jtcvs.2013.03.027. Epub 2013 Apr 26.
6
Anomalous origin of left coronary artery from pulmonary artery in older children and adults: direct aortic implantation.左冠状动脉起源于肺动脉的异常在大龄儿童和成人中的表现:直接主动脉植入。
Ann Thorac Surg. 2011 Feb;91(2):549-53. doi: 10.1016/j.athoracsur.2010.08.032.
7
ALCAPA syndrome: not just a pediatric disease.左冠状动脉起源于肺动脉综合征:不仅仅是一种儿科疾病。
Radiographics. 2009 Mar-Apr;29(2):553-65. doi: 10.1148/rg.292085059.
8
Surgical treatment of coronary artery anomalies: report of a 37 1/2-year experience at the Texas Heart Institute.冠状动脉异常的外科治疗:得克萨斯心脏研究所37年半的经验报告
Tex Heart Inst J. 2002;29(4):299-307.