Westaby S, Davies G J
J Thorac Cardiovasc Surg. 1986 Feb;91(2):188-91.
A 35-year-old white woman with anomalous origin of the left coronary artery from the pulmonary artery had infective endocarditis and severe mitral regurgitation. She survived mitral valve replacement and occlusion of the anomalous left main stem, but subsequently deterioration of her condition necessitated urgent saphenous vein bypass grafts to the left anterior descending and circumflex coronary arteries. Pulmonary hypertension with raised right ventricular end-diastolic pressure probably compromised collateral flow from the right to the left coronary systems.
一名35岁的白人女性，其左冠状动脉起源于肺动脉异常，患有感染性心内膜炎和严重二尖瓣反流。她在接受二尖瓣置换术和异常左主干闭塞后存活下来，但随后病情恶化，需要紧急进行大隐静脉旁路移植术，将其连接至左前降支和左旋支冠状动脉。肺动脉高压伴右心室舒张末期压力升高，可能影响了从右冠状动脉系统到左冠状动脉系统的侧支血流。
