Yoshida Y, Emmanouilides G C, Nelson R J, Baylen B G, Criley J M
Cathet Cardiovasc Diagn. 1980;6(3):293-303. doi: 10.1002/ccd.1810060309.
A 3 2/12-year-old boy with anomalous origin of the left coronary artery from the pulmonary artery was successfully treated by anastomosis of the left subclavian artery to the anomalous vessel. A remarkable improvement in left ventricular function and electrocardiogram has occurred postoperatively. This case report supports the postulation that chronically hypoperfused, electrically silent, and minimally contractile myocardial tissue may acquire its electrical activity and function with the establishment of adeqate coronary perfusion.
一名3又2/12岁的男孩,其左冠状动脉起源于肺动脉,通过将左锁骨下动脉与异常血管吻合成功治愈。术后左心室功能和心电图有显著改善。本病例报告支持这样一种假设,即长期灌注不足、电活动静止且收缩功能微弱的心肌组织,在建立充足的冠状动脉灌注后,可能会获得电活动和功能。