Monro J L, Sharratt G P, Conway N
Br Heart J. 1978 Jan;40(1):79-82. doi: 10.1136/hrt.40.1.79.
A case of anomalous origin of the left coronary artery from the pulmonary artery is reported in which surgical correction by anastomosis of the left subclavian artery to the left coronary artery was performed at the age of 6 months. There was a dramatic clinical improvement, and at 22 months repeat angiocardiography disclosed a patent graft and remarkable improvement in left ventricular function. It is recommended that this is the operation of choice for infants in whom cardiac catheterisation fails to show a shunt into the pulmonary artery or the shunt is small.
报道了一例左冠状动脉起源于肺动脉的病例，该病例在6个月大时通过将左锁骨下动脉与左冠状动脉吻合进行了手术矫正。临床症状有显著改善，在22个月时重复心血管造影显示移植血管通畅，左心室功能有显著改善。对于心脏导管检查未能显示有分流进入肺动脉或分流较小的婴儿，建议采用这种手术方式作为首选。
