Hayashida N, Hisatomi K, Isomura T, Tayama E, Ohashi M, Hirano A, Kosuga K, Oishi K
Second Department of Surgery, Kurume University School of Medicine, Japan.
Kyobu Geka. 1993 Mar;46(3):263-5.
A seventeen-year-old male with Bland-White-Garland syndrome underwent direct implantation of the left coronary artery to the ascending aorta. Under cardiopulmonary bypass, the main pulmonary artery was completely transected and the left coronary artery (LCA) was excised with a cuff of the pulmonary artery wall. Then the proximal end of LCA was directly anastomosed to the ascending aorta. The postoperative course was excellent. It appears that this surgical procedure might be the most ideal repair both anatomically and hemodynamically to reconstruct the left coronary artery in Bland-White-Garland syndrome.
一名患有布兰德-怀特-加兰综合征的17岁男性接受了左冠状动脉直接植入升主动脉手术。在体外循环下，主肺动脉被完全横断，左冠状动脉（LCA）连同肺动脉壁的袖状组织一并切除。然后将LCA的近端直接吻合到升主动脉。术后恢复过程良好。看来这种手术方法在解剖学和血流动力学方面可能是重建布兰德-怀特-加兰综合征患者左冠状动脉的最理想修复方式。
