Shaffer C W, Berman W, Waldhausen J A
Ann Thorac Surg. 1979 Mar;27(3):250-3. doi: 10.1016/s0003-4975(10)63286-9.
Coronary artery anomalies in tetralogy of Fallot have often compromised surgical repair and imposed an increased mortality rate. Thus accidental division of the anterior descending coronary artery crossing the right outflow tract has previously usually resulted in death. The case is presented of a 13-year-old boy with tetralogy of Fallot in whom the anomalous left anterior descending coronary artery was divided. The blood supply to the left anterior descending artery was successfully restored using a reversed saphenous vein graft.
法洛四联症中的冠状动脉异常常影响手术修复,并导致死亡率增加。因此,此前,横跨右心室流出道的前降支冠状动脉意外离断通常会导致死亡。本文报告了一名13岁法洛四联症男孩的病例,其异常的左前降支冠状动脉被离断。使用一段倒置的大隐静脉移植成功恢复了左前降支的血供。