Cottrill C M, Davis D, McMillen M, O'Connor W N, Noonan J A, Todd E P
J Am Coll Cardiol. 1985 Jul;6(1):237-42. doi: 10.1016/s0735-1097(85)80282-5.
Two patients with anomalous origin of the left main coronary artery from the pulmonary artery had an associated defect (one, critical pulmonary stenosis; the other, ventricular septal defect). They presented with signs and symptoms of the associated defect and the coronary anomaly was unrecognized. Both cases at autopsy lacked the usual large right coronary artery seen with this anomaly. The pathophysiologic features of the combined defects are described, their differences from the isolated anomaly are noted and their relation to surgery is discussed.
两名左主冠状动脉起源于肺动脉的患者伴有相关缺陷（一例为严重肺动脉狭窄；另一例为室间隔缺损）。他们表现出相关缺陷的体征和症状，而冠状动脉异常未被识别。两例尸检均未发现这种异常情况下常见的粗大右冠状动脉。文中描述了合并缺陷的病理生理特征，指出了它们与孤立异常的差异，并讨论了它们与手术的关系。
