Goldblatt E, Adams A P, Ross I K, Savage J P, Morris L L
J Thorac Cardiovasc Surg. 1984 Jan;87(1):59-65.
The cases of two infants with heart failure and myocardial infarction because of single-trunk anomalous origin of both coronary arteries from the pulmonary artery are reported. Electrocardiography and thallium 201 imaging indicated preoperative myocardial infarction. The diagnosis was confirmed by cardiac catheterization and angiography in each case. To our knowledge these are the first reports of this diagnosis being made during life prior to attempts at surgical correction. Both patients underwent cardiac operations and the operative techniques used are described. Corrective operations for this abnormality have not been attempted previously. At autopsy radiopaque contrast material injected into the aorta confirmed flow from the aorta to the coronary arteries.
报道了两例因冠状动脉均起源于肺动脉主干异常而导致心力衰竭和心肌梗死的婴儿病例。心电图和铊201显像提示术前存在心肌梗死。每例均经心导管检查和血管造影确诊。据我们所知，这是在进行手术矫正尝试之前生前作出该诊断的首次报道。两名患者均接受了心脏手术，并描述了所采用的手术技术。此前尚未尝试过针对这种异常情况的矫正手术。尸检时，向主动脉注入不透射线的造影剂证实了从主动脉到冠状动脉的血流。
