Tamer D F, Mallon S M, Garcia O L, Wolff G S
Am Heart J. 1984 Aug;108(2):341-5. doi: 10.1016/0002-8703(84)90622-7.
Three children were identified as having anomalous origin of the left anterior descending coronary artery (LAD) from the pulmonary artery (PA). Two had had congestive heart failure in infancy with clinical diagnosis of endocardial fibroelastosis and all had abnormal ECGs. The correct diagnosis was delayed in each case, and two patients required selective coronary angiography. Surgery was accomplished in the three children although ECG abnormalities have persisted and one child has dyskinesis of the left ventricular apex. Because this diagnosis may be difficult to make when intercoronary anastomoses are inadequate to outline the left anterior descending coronary flow into the PA, patients with clinical findings suggestive of anomalous coronary artery may require selective coronary studies to exclude this anomaly.
三名儿童被诊断为左前降支冠状动脉（LAD）起源于肺动脉（PA）异常。两名儿童在婴儿期出现充血性心力衰竭，临床诊断为心内膜弹力纤维增生症，且所有儿童心电图均异常。每例病例的正确诊断均被延迟，两名患者需要进行选择性冠状动脉造影。尽管心电图异常持续存在，且一名儿童左心室心尖运动障碍，但这三名儿童均成功接受了手术。由于当冠状动脉间吻合不足以勾勒出左前降支冠状动脉向肺动脉的血流时，该诊断可能难以做出，因此有提示冠状动脉异常临床表现的患者可能需要进行选择性冠状动脉检查以排除这种异常。
