Gittenberger-de Groot A C, Sauer U, Quaegebeur J
J Thorac Cardiovasc Surg. 1986 Apr;91(4):566-71.
Three hearts with transposition of the great arteries had an aberrant coronary artery coursing between the aortic and pulmonary roots. This coronary artery remained embedded in the aortic wall for some distance. In each case, on external inspection, the abnormal artery presented as a separate vessel at the site from which it usually originates in the left sinus of Valsalva. Internal inspection showed that in two cases the aberrant coronary orifice was in the posterior sinus, intimately related to the commissure between the left and posterior sinuses. In the third case the orifice was in an ectopic high position above this commissure. Diagnostic and surgical implications of this rare coronary arterial configuration are discussed.
三例大动脉转位的心脏有一支异常冠状动脉走行于主动脉和肺动脉根部之间。这支冠状动脉在主动脉壁内走行一段距离。在每例中，外部检查时，异常动脉在其通常起源的主动脉左窦处表现为一条独立血管。内部检查显示，两例中异常冠状动脉开口位于后窦，与左窦和后窦之间的瓣交界紧密相关。第三例中，开口位于该瓣交界上方的异位高位。本文讨论了这种罕见冠状动脉构型的诊断和手术意义。
