Culbertson C, De Campli W, Williams R, Helton G, Young N, Hardy C
Department of Pediatric Cardiology, Children's Hospital Oakland, CA 94609-1809, USA.
Pediatr Cardiol. 1995 Mar-Apr;16(2):73-5. doi: 10.1007/BF00796821.
Congenital valvar aortic stenosis in association with an abnormal coronary artery origin and distribution has not been previously reported. The right coronary artery arose in the left ventricular (LV) outflow tract and supplied much of the LV myocardium. Aortic valvotomy with standard antegrade cardioplegia resulted in infarction of the left ventricle. Aggressive attempts to ascertain the origin of the coronary arteries in right dominant coronary systems must be performed before any intervention in this group of patients.
先天性瓣膜性主动脉狭窄合并冠状动脉起源及分布异常此前尚未见报道。右冠状动脉起源于左心室流出道,并供应大部分左心室心肌。采用标准顺行性心脏停搏进行主动脉瓣切开术导致左心室梗死。在对这组患者进行任何干预之前,必须积极尝试确定右优势冠状动脉系统中冠状动脉的起源。