Head G B, Parmley L F, Hightower B M
Am J Med. 1984 Feb;76(2):324-8. doi: 10.1016/0002-9343(84)90795-2.
Syncope, palpitations, ventricular tachycardia, and electrocardiographic changes of acute myocardial ischemia in a 19-year-old woman resulted from significant narrowing of the left main coronary artery and its ostium, producing high-grade obstruction to flow as documented by selective coronary arteriography. Because of these findings and markedly positive results of cardiovascular stress testing, surgical treatment by aortocoronary artery saphenous vein bypass grafting to the left anterior descending artery was carried out. Four years postoperatively, the patient was asymptomatic, and there are no abnormal findings on cardiovascular stress testing.
一名19岁女性出现晕厥、心悸、室性心动过速以及急性心肌缺血的心电图改变，原因是左冠状动脉主干及其开口处显著狭窄，选择性冠状动脉造影显示血流严重受阻。鉴于这些发现以及心血管应激试验的显著阳性结果，对其实施了经主动脉冠状动脉大隐静脉旁路移植至左前降支的手术治疗。术后四年，患者无症状，心血管应激试验未发现异常。
