Driscoll D J, Garson A, McNamara D G
Cathet Cardiovasc Diagn. 1982;8(1):55-61. doi: 10.1002/ccd.1810080110.
The rare coexistence of anomalous origin of the left coronary artery from the main pulmonary artery with other cardiac malformations prompts us to report an unusual case of anomalous origin of the left coronary artery from the right pulmonary artery associated with complete atrioventricular canal, patent ductus arteriosus, and coarctation of the aorta. It is important to recognize the presence of an anomalous origin of the left coronary artery in complex congenital heart disease since the coronary artery anomaly will increase the morbidity of the associated congenital cardiac malformation. Conversely, correction of the associated congenital cardiac defect may decrease the pulmonary artery pressure resulting in reduced left coronary artery flow, myocardial ischemia, and death.
左冠状动脉起源于主肺动脉与其他心脏畸形罕见并存，促使我们报告一例不寻常病例，即左冠状动脉起源于右肺动脉并伴有完全性房室通道、动脉导管未闭和主动脉缩窄。认识到复杂先天性心脏病中存在左冠状动脉起源异常很重要，因为冠状动脉异常会增加相关先天性心脏畸形的发病率。相反，纠正相关先天性心脏缺陷可能会降低肺动脉压力，导致左冠状动脉血流减少、心肌缺血和死亡。
