Akasaka T, Itoh K, Ohkawa Y, Nakayama S, Miyamoto H, Nishi T, Satoh H, Takarada M
Ann Thorac Surg. 1981 May;31(5):469-74. doi: 10.1016/s0003-4975(10)61003-x.
An 8-year-old boy with anomalous origin of the left coronary artery from the pulmonary artery associated with tetralogy of Fallot, which was definitely diagnosed preoperatively, was operated on with success. Direct implantation of the left coronary artery into the aorta following division of the left coronary artery from the pulmonary artery and, concomitantly, total repair for tetralogy of Fallot using an external valved conduit were performed. Postoperative cineangiogram revealed a hemodynamically well-repaired intracardiac condition and anterograde filling of the left coronary artery, compared with retrograde left coronary flow from intercoronary collateral vessels preoperatively. To the best of our knowledge, there is not a previously published report of anomalous origin of the left coronary artery from the pulmonary artery associated with tetralogy of Fallot that was treated surgically with success.
一名8岁男孩，患有左冠状动脉起源于肺动脉并合并法洛四联症，术前已明确诊断，手术成功。在将左冠状动脉与肺动脉分离后，直接将左冠状动脉植入主动脉，并同时使用带瓣外管道对法洛四联症进行了全面修复。术后心血管造影显示，与术前通过冠状动脉间侧支血管逆行左冠状动脉血流相比，心脏内血流动力学修复良好，左冠状动脉顺行充盈。据我们所知，此前尚无关于左冠状动脉起源于肺动脉并合并法洛四联症且手术成功治疗的报道。
