AORTIC IMPLANTATION OF ANOMALOUS LEFT CORONARY-ARTERY - AN IMPROVED SURGICAL APPROACH
AORTIC IMPLANTATION OF ANOMALOUS LEFT CORONARY-ARTERY - AN IMPROVED SURGICAL APPROACH
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DOI：
10.1016/s0022-5223(95)70283-0
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发表时间：
1995-03-01
影响因子：
6
通讯作者：
ALLADA, V
中科院分区：
文献类型：
--
作者：
LAKS, H;ARDEHALI, A;ALLADA, V
左冠状动脉起源于肺动脉的异常可能是一个技术挑战。将畸形的左冠状动脉直接植入主动脉内形成双冠状动脉系统是首选的手术方法。我们描述了这一技术的改进，以允许从主动脉腔内切除的肺动脉纽扣吻合异常的左冠状动脉。我们已经在6名儿童和1名成人左冠状动脉异常患者中使用了这种方法，并取得了良好的效果。这一改进技术的潜在好处是：(1)改进了手术暴露，(2)能够将异常的左冠状动脉植入适当的窦道，(3)避免了由于改进暴露而导致的主动脉瓣损伤或变形，以及(4)适用于所有年龄的患者。
Anomalous origin of the left coronary artery from the pulmonary artery may present a technical challenge. Direct implantation of the anomalous left coronary artery into the aorta to provide a two coronary artery system is the preferred surgical approach. We describe a modification of this technique to allow anastomosis of the anomalous left coronary artery with the excised button of pulmonary artery from within the lumen of the aorta. We have used this procedure in six children and one adult with anomalous left coronary artery with favorable outcome. The potential benefits of this modified technique are (1) improved operative exposure, (2) ability to implant the anomalous left coronary artery in the appropriate sinus, (3) avoidance of aortic valve damage or distortion because of improved exposure, and (4) applicability to patients of all ages.