Terdjman M, Ferrier A, Dubourg O, Guéret P, Farcot J C, Hedrich-Ameur C, Bourdarias J P
Arch Mal Coeur Vaiss. 1985 Jun;78(6):951-4.
The authors describe a case of an anomalous left coronary artery arising from the main pulmonary artery in an 11 year old child suffering from chest pain on effort and with a continuous murmur in the second left intercostal space. Two dimensional echocardiography (2D E) showed dilatations of the first segment of the right coronary artery and the anomalous origin of the left main coronary artery. A peripheral injection of microbubbles showed a left-to-right shunt between the left coronary artery and the pulmonary artery. Semi-quantitative evaluation of LV regional wall motion showed abnormal contraction of the anterolateral walls. Haemodynamic, angiographic data and the operative findings confirmed the diagnosis. The abnormal coronary ostium was closed and a bypass graft from the aorta to the left anterior descending artery was performed. Clinical and echocardiographic follow-up 7 months after surgery was completely normal.
作者描述了一例11岁儿童的病例，该患儿因活动时胸痛且左第二肋间有连续性杂音，其左冠状动脉异常起源于主肺动脉。二维超声心动图（2D E）显示右冠状动脉第一段扩张以及左冠状动脉主干异常起源。经外周注射微泡显示左冠状动脉与肺动脉之间存在左向右分流。左心室区域壁运动的半定量评估显示前侧壁收缩异常。血流动力学、血管造影数据及手术所见均证实了诊断。异常的冠状动脉口被封闭，并进行了从主动脉到左前降支的旁路移植术。术后7个月的临床及超声心动图随访结果完全正常。
