Pernot C, Binet J P, Worms A M, Marçon F, Dambrine P, Giletti J
Ann Cardiol Angeiol (Paris). 1984 Apr;33(3):179-83.
The isolated abnormal origin of the anterior interventricular artery from the pulmonary artery with the circumflex artery, arising normally from the right coronary artery and implanting in the aorta is much less common than the origin of a common left coronary trunk from the pulmonary artery. The first condition is also better tolerated than the second. In the present case, the clinical tolerance was excellent, but there was, nevertheless, a complicated antero-apical necrosis of a left ventricular aneurysm, which was successfully resected at the same time as the reimplantation of the anterior interventricular artery into the aorta. The patency of the anastomosis was subsequently confirmed.
前室间动脉从肺动脉孤立异常起源，同时回旋支动脉正常起源于右冠状动脉并植入主动脉，这种情况比左冠状动脉总干从肺动脉起源要少见得多。第一种情况的耐受性也比第二种情况好。在本病例中，临床耐受性良好，但仍存在左心室室壁瘤合并复杂的心尖前坏死，在将前室间动脉重新植入主动脉的同时成功切除了室壁瘤。随后证实了吻合口通畅。
