ANOMALOUS ORIGIN OF LEFT CORONARY-ARTERY FROM PULMONARY-ARTERY - NEW METHOD OF SURGICAL REPAIR
ANOMALOUS ORIGIN OF LEFT CORONARY-ARTERY FROM PULMONARY-ARTERY - NEW METHOD OF SURGICAL REPAIR
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DOI：
10.1161/01.cir.50.3.582
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发表时间：
1974-01-01
期刊：
影响因子：
37.8
通讯作者：
BAHNSON, HT
中科院分区：
文献类型：
--
作者：
NECHES, WH;MATHEWS, RA;BAHNSON, HT
左冠状动脉起源于肺动脉的异常已经通过外科手术纠正，手术方法是避免直接切除冠状动脉本身。将异常左冠状动脉从肺动脉中取出，并在其开口周围形成一圈肺动脉组织。在一个五岁半的病人，异常冠状动脉直接使用这种技术的主动脉。在另一名7个月大的患者中，异常冠状动脉不能直接与主动脉吻合，患者锁骨下动脉的一段插入左冠状动脉和主动脉之间以完成吻合。在后一名患者中，在吻合术的构建过程中使用了深低温和循环停止，以尽量减少进一步的心肌损伤。已证明在患有这种异常的婴幼儿中建立双冠状动脉系统是可行的。
Anomalous origin of the left coronary artery from the pulmonary artery has been surgically corrected by means of a technique that avoids direct suturing of the coronary artery itself. The anomalous left coronary artery is removed from the pulmonary artery with a cuff of pulmonary artery tissue about its orifice. In a five-and-one-half-year-old patient the anomalous coronary artery was anastomosed directly to the aorta using this technique. In another patient, seven months of age, the anomalous coronary artery could not be anastomosed directly to the aorta and a segment of the patient's subclavian artery was interposed between the left coronary artery and the aorta to complete the anastomosis. In the latter patient, profound hypothermia and circulatory arrest were used during construction of the anastomosis in an attempt to minimize further myocardial damage. The establishment of a two coronary artery system has been demonstrated to be feasible in the infant or young child with this anomaly.