Choh J H, Levinsky L, Srinivasan V, Idbeis B, Subramanian S
Thorac Cardiovasc Surg. 1980 Aug;28(4):239-42. doi: 10.1055/s-2007-1022086.
An anomalous left coronary artery arising from the pulmonary artery is a rare congenital anomaly which carries a serious prognosis with a high mortality in infants. Our experience in the surgical treatment of 9 patients with this condition during the last 5 years is discussed. The majority of patients were under the age of 2 years and presented with left ventricular failure. Surgical procedures included simple ligation of the left coronary artery, left subclavian to left coronary artery anastomosis, interposition vein graft, and direct reimplantation of the left coronary artery into the aorta. Patients treated by simple ligation survived the procedure but did not show improvement. Results with the subclavian artery to left coronary artery anastomosis were disappointing. Direct reimplantation or interposition of a saphenous vein graft appears to be the method of choice.
起源于肺动脉的异常左冠状动脉是一种罕见的先天性畸形，婴儿患者预后严重，死亡率高。本文讨论了我们在过去5年中对9例患有这种疾病的患者进行手术治疗的经验。大多数患者年龄在2岁以下，表现为左心室衰竭。手术方法包括单纯结扎左冠状动脉、左锁骨下动脉至左冠状动脉吻合术、静脉移植术以及将左冠状动脉直接重新植入主动脉。接受单纯结扎治疗的患者手术存活，但病情未改善。锁骨下动脉至左冠状动脉吻合术的结果令人失望。直接重新植入或使用大隐静脉进行移植似乎是首选方法。
