Sim E K, van Son J A, Julsrud P R, Puga F J
Division of Thoracic and Cardiovascular Surgery, Mayo Clinic, Rochester, MN 55905.
Ann Thorac Surg. 1994 Feb;57(2):458-60. doi: 10.1016/0003-4975(94)91017-0.
Three patients with dextro-transposition of the great arteries and an aortic intramural left coronary artery are described. A review of our patients with dextro-transposition of the great arteries and those reported in the literature suggests that an aortic intramural course of the left coronary artery or left anterior descending coronary artery must be assumed when the artery arises from the right (posterior) sinus of Valsalva, distal to the right sinotubular junction, or at the commissure between the right and left (anterior) sinuses and courses between the great arteries.
本文描述了3例大动脉右位转位合并主动脉壁内左冠状动脉的患者。回顾我们收治的大动脉右位转位患者以及文献报道的病例发现，当左冠状动脉或左前降支冠状动脉起源于右（后）瓦尔萨尔瓦窦，位于右窦管交界远端，或位于右窦与左（前）窦之间的瓣叶联合处，并走行于两大动脉之间时，必须考虑其走行于主动脉壁内。
