Santoro G, di Carlo D, Carotti A, Formigari R, Boldrini R, Bosman C, Ballerini L
Department of Pediatric Cardiology, Ospedale Bambino Gesù, Rome, Italy.
Ann Thorac Surg. 1995 Sep;60(3):706-8. doi: 10.1016/0003-4975(95)00311-8.
Single trunk anomalous origin of both coronary arteries from the pulmonary artery is a rare congenital cardiac anomaly. We report on 2 cases of its association with aortic coarctation, the diagnosis of which in living patients is very difficult. We think that the possibility of this anatomic arrangement should always be considered in patients with isolated aortic coarctation whose clinical condition seems impaired rather than improved after an apparently successful coarctectomy.
冠状动脉均起源于肺动脉的单干异常是一种罕见的先天性心脏畸形。我们报告2例其与主动脉缩窄相关的病例，在活体患者中诊断该病非常困难。我们认为，对于孤立性主动脉缩窄且在看似成功的缩窄切除术后临床状况未见改善反而受损的患者，应始终考虑这种解剖结构存在的可能性。
