Midgley F M, Watson D C, Scott L P, Kuehl K S, Perry L W, Galioto F M, Ruckman R N, Shapiro S R
J Am Coll Cardiol. 1984 Dec;4(6):1231-4. doi: 10.1016/s0735-1097(84)80142-4.
Anomalous origin of the left coronary artery from the pulmonary artery is associated with myocardial infarction, left ventricular dysfunction, mitral valve dysfunction and, occasionally, intracardiac congenital abnormalities. A technique that utilizes a flap of the anterior wall of the pulmonary artery to serve as a neocoronary artery to direct aortic flow from a created aortopulmonary window to the pulmonary artery orifice of the anomalous left coronary artery was used in five patients aged 2.5 months to 4.75 years. Two patients were less than 4 months of age at operation. There was one death 2 days after operation and one late death. The two youngest patients required mitral valve replacement. Two of the three surviving patients are well at follow-up at 7 to 44 months. One patient has been lost to follow-up study. One patient had postoperative catheterization which showed an intact repair. The pulmonary artery neocoronary procedure is applicable to infants and small patients with anomalous origin of the left coronary artery from the pulmonary artery.
左冠状动脉起源于肺动脉与心肌梗死、左心室功能障碍、二尖瓣功能障碍相关，偶尔还与心内先天性异常有关。一种利用肺动脉前壁瓣作为新冠状动脉，将主动脉血流从人工制造的主肺动脉窗引导至异常左冠状动脉肺动脉口的技术应用于5例年龄在2.5个月至4.75岁的患者。2例患者手术时年龄小于4个月。术后2天有1例死亡，1例晚期死亡。2例最年幼的患者需要进行二尖瓣置换术。3例存活患者中有2例在7至44个月的随访中情况良好。1例患者失访。1例患者术后导管检查显示修复完整。肺动脉新冠状动脉手术适用于左冠状动脉起源于肺动脉的婴儿和小儿患者。
