Iselin M, Grollier G, Couetil J P, Khayat A, Potier J C, Foucault J P
Arch Mal Coeur Vaiss. 1984 Jul;77(7):846-9.
The authors report a case of an anomalous left coronary artery discovered by chance in a totally asymptomatic 39 year old man. Appearances of anterior myocardial infarction were observed on routine preoperative ECG in a man with multiple injuries. Coronary angiography showed an anomalous left coronary artery arising from the main pulmonary artery. Left ventricular function was poor with associated mitral regurgitation. Surgical correction consisted in an end-to-end venous graft between the ostium of the coronary artery detached from the pulmonary artery and the right anterior border of the ascending aorta. Left ventricular function did not improve four months after surgical correction. The irreversibility of the myocardial lesions argues in favour of an early correction of this malformation.
作者报告了一例在一名完全无症状的39岁男性中偶然发现的异常左冠状动脉病例。一名多处受伤的男性在术前常规心电图检查中出现前壁心肌梗死的表现。冠状动脉造影显示异常左冠状动脉起源于主肺动脉。左心室功能差并伴有二尖瓣反流。手术矫正方法是在从肺动脉分离的冠状动脉开口与升主动脉右前缘之间进行端到端静脉移植。手术矫正四个月后左心室功能未改善。心肌病变的不可逆性支持尽早矫正这种畸形。
