Alam M, Osterberger L E, Magilligan D J, Marks D S, Goldstein S
Arch Intern Med. 1983 Feb;143(2):385-6.
After undergoing a ligation of the anomalous left coronary artery from the pulmonary artery and a saphenous vein bypass graft surgery, a 53-year-old woman has had improvement in exercise tolerance and congestive heart failure for up to two years of follow-up. Comparison of the preoperative and postoperative noninvasive studies disclose that surgery improved the left ventricular volume overload and perfusion. However, there was no change in the resting or exercise ejection fraction as assessed by stress multiple-gated acquisition isotope scan.
一名53岁女性在接受了异常左冠状动脉从肺动脉结扎及大隐静脉搭桥手术后，在长达两年的随访中运动耐量和充血性心力衰竭情况有所改善。术前和术后非侵入性检查结果对比显示，手术改善了左心室容量超负荷及灌注情况。然而，通过应力多门控采集同位素扫描评估，静息或运动射血分数并无变化。
