摘要
１例患左冠状动脉异常起源于肺动脉的７岁女孩，行左冠状动脉重建术获得成功。因异常起源的左冠状动脉源于肺动脉主干的左后侧，左冠状动脉主干较短，不能直接植入升主动脉；病儿年龄小，大隐静脉和其他自体血管难以利用，故采用人工血管左冠状动脉旁路架桥术。术后病儿恢复顺利，左室功能正常，心血管造影证实人工血管桥和左冠状动脉通畅、无狭窄或扭曲。作者认为，左冠状动脉异常起源于肺动脉的病人，当左冠状动脉不能直接植入升主动脉时，主动脉－左冠状动脉旁路术为一种可选择的手术方式。
A 7-year-old girl with an anomalous origin of the left coronary artery from the left posterior aspect of the main pulmonary artery underwent an aorto-coronary bypass with a vascular prosthesis.The reason for employment of vascular prosthesis was owing to technically impossible reimplantation of the left coronary artery to the aorta,and patient's saphenous vein or other autogenous vessels were not available.Postoperative angiography showed a patent left coronary artery without any narrowing or kinking.The clinical improvement was rapid and the left ventricular function recovered completely. This technique is thus considered applicable when the orifice of the anomalous left coronary artery is too far from the aorta for direct anastomosis and the vein graft is not available in young children.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1995年第6期321-322,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
冠状动脉异常
肺动脉
人工血管
冠状动脉重建术
Left coronary artery
Anomalous origin
Pulmonary artery
Vascular prosthesis bypass
