成人型左冠状动脉异常起源于肺动脉长期随访1例

Long-term follow-up of adult-type anomalous left coronary artery from the pulmonary artery:a case report

1病例资料患者,女,49岁,主因"间断胸闷、心悸、乏力40余年,加重10 d"于2019年6月20日就诊于我院。患者于40余年前间断出现胸闷、心悸、乏力症状,未系统诊治,15余年前于辽宁省人民医院诊断为左冠状动脉异常起源于肺动脉(anomalous left coronary artery from the pulmonary artery,ALCAPA),行左冠状动脉异位起源纠正术,术中探查见右冠状动脉显著扩张、迂曲,左冠状动脉及左主干扩张,遂结扎异常起源的左冠状动脉并行以大隐静脉为移植物的冠状动脉旁路移植术,术后规律随访4余年,无明显临床症状。

Anomalous left coronary artery from the pulmonary artery(ALCAPA) is a rare congenital heart disease.Current surgical treatment provides a good effect for it,but the long-term prognosis of adult-type ALCAPA is still unknown.This paper retrospectively analyzed the clinical follow-up data of a patient with adult-type ALCAPA after operation for 15 years,and discussed the characteristics,treatment and long-term prognosis of the disease.