Rossi M B, Ho S Y, Anderson R H, Rossi Filho R I, Lincoln C
Ann Thorac Surg. 1986 Nov;42(5):573-7. doi: 10.1016/s0003-4975(10)60587-5.
Hearts from 29 children with complete transposition were examined postmortem to analyze the pattern of the coronary arteries and the origin of the sinus node artery. Four patterns of origin and distribution of the coronary arteries were found. In all, the coronary arteries arose from one or both of the facing sinuses, which were termed sinus 1 and sinus 2. The patterns were left coronary artery from sinus 1 and right coronary artery from sinus 2; anterior descending artery from sinus 1 and right coronary artery and circumflex artery from sinus 2; left coronary and right coronary from sinus 2; and circumflex artery from sinus 2 and right coronary artery from sinus 1. This study highlights the patterns of the coronary arteries in complete transposition and categorizes the variability using a simple classification. It also emphasizes the surgical significance of variations in distribution of the sinus node artery.
对29例完全性大动脉转位患儿的心脏进行了尸检，以分析冠状动脉的形态及窦房结动脉的起源。发现了四种冠状动脉起源和分布模式。总体而言，冠状动脉起源于一个或两个相对的窦，分别称为窦1和窦2。这些模式包括：窦1发出左冠状动脉，窦2发出右冠状动脉；窦1发出前降支动脉，窦2发出右冠状动脉和回旋支动脉；窦2发出左冠状动脉和右冠状动脉；窦2发出回旋支动脉，窦1发出右冠状动脉。本研究突出了完全性大动脉转位中冠状动脉的模式，并使用简单分类法对其变异性进行了分类。它还强调了窦房结动脉分布变异的手术意义。
