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左冠状动脉异常起源的手术

An operation for anomalous origin of left coronary artery.

作者信息

Hamilton D I, Ghosh P K, Donnelly R J

出版信息

Br Heart J. 1979 Jan;41(1):121-4. doi: 10.1136/hrt.41.1.121.

DOI:10.1136/hrt.41.1.121
PMID:426952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC482021/
Abstract

Successful surgical correction for anomalous origin of the left coronary artery from the pulmonary artery in a 4-year-old child is reported. An aortopulmonary fistula was created and a pericardial baffle was inserted within the pulmonary artery to connect the fistula to the ostium of the left coronary artery. The clinical, haemodynamic, and angiographic features of the anomaly are presented. The child's progress is satisfactory 17 months after the operation.

摘要

报道了一名4岁儿童左冠状动脉起源于肺动脉异常的成功手术矫正病例。建立了主动脉肺动脉瘘,并在肺动脉内插入心包挡板,将瘘与左冠状动脉开口相连。介绍了该异常的临床、血流动力学和血管造影特征。术后17个月,患儿恢复情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25d7/482021/11ef19873cef/brheartj00203-0131-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25d7/482021/11ef19873cef/brheartj00203-0131-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25d7/482021/11ef19873cef/brheartj00203-0131-a.jpg

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本文引用的文献

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Anomalous origin of the left coronary artery from the pulmonary trunk. Potential for false negative diagnosis with cross sectional echocardiography.左冠状动脉起源于肺动脉干。经胸超声心动图存在假阴性诊断的可能性。
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A method of definitive surgical treatment of anomalous origin of left coronary artery. A case report.
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Left ventricular aneurysmectomy in a 4-month-old infant. Alternative method of treatment of anomalous left coronary artery.4个月大婴儿的左心室动脉瘤切除术。异常左冠状动脉的替代治疗方法。
J Thorac Cardiovasc Surg. 1974 Jun;67(6):915-9.
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Congenital anomalies of the thoracic aorta and its branches: pathophysiology, clinical course, and management.胸主动脉及其分支的先天性异常:病理生理学、临床病程及处理
Prog Cardiovasc Dis. 1973 Jul-Aug;16(1):43-67. doi: 10.1016/0033-0620(73)90004-2.
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Anomalous origin of the left coronary artery from the pulmonary artery. A new method of surgical repair.左冠状动脉起源于肺动脉异常。一种新的手术修复方法。
Circulation. 1974 Sep;50(3):582-7. doi: 10.1161/01.cir.50.3.582.
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Subclavian-coronary artery anastomosis in infancy for the Bland-White-Garland syndrome: a three-year and five-year follow-up.婴儿期锁骨下动脉-冠状动脉吻合术治疗布兰德-怀特-加兰综合征:三年和五年随访
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