E. Régis Jucá
DOI: 10.1590/S0102-76381996000200012
RESUMO
Seis casos de origem anômala das artérias coronárias são relatados: artéria coronária esquerda nascendo no tronco pulmonar 3 casos, artéria coronária direita nascendo no tronco pulmonar 2 e uma coronária direita nascendo no seio de Valsalva esquerdo. Foi realizado a reparo cirúrgico sem mortalidade. As controvérsias sobre as opções cirúrgicas são discutidas.ABSTRACT
Six cases of anomalous origin of the coronary arteries are reported: left arising from pulmonary artery(n=3), right arising from pulmonary artery(n=2), and 1 case of right coronary with origin in the left sinus of Valsalva. They were submited to surgical repair without mortality. The controversies on the surgical options are discussed. Texto completo disponível apenas em PDF.REFERÊNCIAS
1. Fernandes E D, Kadivar H, Hallman G L, Reul G, Ott D, Cooley D A - Congenital malformations of the coronary arteries: the Texas Heart Institute experience. Ann Thorac Surg 1992; 54: 732-40. [MedLine]
2. Vouhê P R, Tamisier D, Sidi D - Anomalous left coronary artery from the pulmonary artery: results of isolated aortic reimplantation. Ann Thorac Surg 1992; 54: 621-6.
3. Sabiston, D C, Neil C A, Taussig, H B - The direction of blood flow in anomalous lest coronary artery arising from the pulmonar artery. Circulation 1960; 22: 591-7. [MedLine]
4. Aardehali A, Laks H, Aallada V. - Management of the anomalous origin of the left coronary artery from the pulmonary artery. In: Advances in cardiac surgery. New York: C. V. Mosby Company, 1996.
5. Backer C L, Stout M J, Muster A, Idriss F, Mavroudis C M - Anomalous origin of the left coronary artery. J Thorac Cardiovasc Surg 1992; 103: 1049-55.
6. Cooley D A, Hallman, G L, Bloodwell R D - Definitive qualified treatment of anomalous origin of left coronary artery from pulmonary artery. J Thorac Cardiovasc Surg 1966; 52: 789-808.
7. Roberts W C - Major anormalies of coronary arterial origin seen in adult mood. Am Heart J 1986; 111: 941-63. [MedLine]
8. Rinaldi R G, Carballido J, Giles R, Tord E D, Porro R - Right coronary artery with anomalous origin. Ann Thorac Surg 1994; 58: 828-34.
9. Bland E F, White P D, Garland J - Congenital anomalies of the coronary arteries: report of an unusual case. Am Heart J 1933; 9: 787-801.