Williams T G, Williams B T
Ann Thorac Surg. 1983 May;35(5):556-9. doi: 10.1016/s0003-4975(10)60435-3.
An isolated unruptured aneurysm of the left coronary sinus of Valsalva was detected incidentally in a patient with a bicuspid aortic valve in whom the left circumflex coronary artery arose from the right coronary artery. With the patient on cardiopulmonary bypass, the mouth of the aneurysm was closed by suturing the reflected posterior cusp of the aortic valve to the aortic root. A Starr-Edwards prosthetic aortic valve was inserted, and an aortocoronary saphenous vein bypass graft maintained good blood flow down the left anterior descending coronary artery. Previous reports of this rare condition and its treatment are discussed.
在一名患有二叶式主动脉瓣且左旋支冠状动脉起源于右冠状动脉的患者中，偶然发现了左冠窦未破裂的孤立性动脉瘤。在患者进行体外循环时，通过将主动脉瓣的后叶翻转并缝合至主动脉根部来封闭动脉瘤开口。植入了Starr-Edwards人工主动脉瓣，并通过大隐静脉主动脉冠状动脉旁路移植术维持了左前降支冠状动脉的良好血流。文中讨论了此前关于这种罕见病症及其治疗方法的报道。
