6例左冠状动脉起源于肺动脉外科治疗体会  

Surgical treatment on anomalous origin of left coronary artery from pulmonary artery-6 cases report

作　　者：陈长城[1] 顾承雄[1] 罗毅[1] 张建群[1] 

机构地区：[1]首都医科大学附属北京安贞医院心外科,100029

出　　处：《心肺血管病杂志》2001年第2期85-87,共3页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的 :总结左冠状动脉起源于肺动脉外科治疗经验。方法 :1993年 10月至 2 0 0 0年 1月 ,我院共收治左冠状动脉起源于肺动脉患者 6例 ,年龄最大 16岁 ,最小 3个月 ,平均 4 4岁。 4例采用肺动脉内隧道法重建左冠状动脉与主动脉连接 ,1例行左冠状动脉移植术 ,1例行单纯左冠状动脉结扎术。结果 :手术死亡 1例 ,死亡率 16 7%。随访共 16 4个月 ,平均 32 8月 人 ,无远期死亡 ,术后心功能明显改善。结论 :肺动脉内隧道法重建左冠状动脉手术方法简单 ,疗效满意。From October 1993 to January,2000,6 patients suffer from anomalous origin of left coronary artery from pulmonary artery underwent surgical treatment in our hospital.Age ranged from 3 months to 16 years,average 4.4 years.Takeuchi operations were performed in four patients,direct left coronary artery transplant in one patient and simple left coronary artery legation in one patient. Operating mortality was 16.7%.Cumulate follow-up periods were 164 months,with a mean time 32.8 months/every case.There was no long-term death,and obvious improvement of heart functions were obtaired.

关 键 词：冠状动脉畸形 外科治疗 手术方法 疗效 

分 类 号：R654.2[医药卫生—外科学]