Barth H, Apitz J
MZ für Kinderheilkunde, Philipps-Universität Marburg.
Z Kardiol. 1995 Jan;84(1):72-6.
An asymptomatic 4-year-old girl with anomalous origin of the right coronary artery from the pulmonary trunk is reported. Echocardiography showed overall dilated coronary arteries with anomalous course of the right coronary artery anterior to the aortic root. During heart catheterization the catheter could be moved from the proximal pulmonary trunk into the aberrant right coronary artery. Because of the coronary-pulmonary steal phenomenon corrective surgery with aortic reimplantation of the right coronary artery is recommended even in asymptomatic patients.
报告了一名4岁无症状女孩，其右冠状动脉起源于肺动脉干。超声心动图显示冠状动脉整体扩张，右冠状动脉走行异常，位于主动脉根部前方。心导管检查时，导管可从近端肺动脉干进入异常的右冠状动脉。由于冠状动脉-肺窃血现象，即使是无症状患者，也建议行右冠状动脉主动脉再植入矫正手术。
