Espinosa R, Badui E, Rangel A
American British Cowdray Hospital, Centro Medico La Raza, IMSS, Mexico, D.F.
Rev Invest Clin. 1997 May-Jun;49(3):225-6.
We present a case of an anomalous origin of the left coronary artery arising from the pulmonary artery in a 60 year old woman with ventricular arrhythmias and ischemic electrocardiographic changes but who had tolerated eleven normal pregnancies and deliveries without complications. No cardiac surgical repair has been performed and she is asymptomatic and has been well controlled with diisopyramide during a ten year follow up.
我们报告一例60岁女性,其左冠状动脉起源异常,发自肺动脉。该患者有室性心律失常和缺血性心电图改变,但曾顺利经历11次正常妊娠和分娩,未出现并发症。目前尚未进行心脏外科修复,患者无症状,在为期10年的随访中,通过丙吡胺治疗病情得到良好控制。