Jacobs Nicole, Reddy Charitha D, Maskatia Shiraz A, McElhinney Doff B, Hanley Frank L
Division of Pediatric Cardiac Surgery, Department of Cardiothoracic Surgery, Lucile Packard Children's Hospital, Stanford University, Stanford, California.
Division of Pediatric Cardiology, Department of Pediatrics, Lucile Packard Children's Hospital, Stanford University, Stanford, California.
Ann Thorac Surg Short Rep. 2023 Aug 12;1(4):670-673. doi: 10.1016/j.atssr.2023.07.011. eCollection 2023 Dec.
Anomalous coronary artery origin is rare and can occur with myocardial bridging. We describe a 28-year-old patient with symptomatic anomalous right coronary artery arising from the left sinus of Valsalva with concomitant myocardial bridging of the left anterior descending artery. It was discovered that the left anterior descending artery ran along the free right ventricular wall with trabeculated myocardium composing the bridge. To address this, the trabecular sinuses were unroofed, and the resulting free edge of the right ventricular wall was sutured back to the interventricular septum.
异常冠状动脉起源罕见，可伴有心肌桥。我们描述了一名28岁有症状的患者，其右冠状动脉起源于左冠状动脉窦且伴有左前降支心肌桥。发现左前降支沿右心室游离壁走行，小梁化心肌构成心肌桥。为解决此问题，切开小梁窦，将右心室壁形成的游离缘缝合回室间隔。
