Yaku H, Nunn G R, Sholler G F
Department of Cardiac Surgery, Royal Alexandra Hospital for Children, Sydney, Australia.
Ann Thorac Surg. 1997 Aug;64(2):543-4. doi: 10.1016/S0003-4975(97)00583-3.
Coronary hypoperfusion may occur after the arterial switch operation, especially when coronary anatomy is complicated. We report successful use of the left internal mammary artery graft for a neonate with coronary hypoperfusion after the arterial switch operation for transposition of great arteries with intramural left coronary artery. Internal mammary arteriography showed a patent graft 19 months after operation.
冠状动脉灌注不足可能发生在动脉调转手术之后,尤其是在冠状动脉解剖结构复杂时。我们报告了1例左冠状动脉壁内走行的大动脉转位患儿在动脉调转手术后发生冠状动脉灌注不足,成功应用左乳内动脉移植血管的病例。术后19个月的乳内动脉造影显示移植血管通畅。