论文部分内容阅读
左冠状动脉起源于肺动脉(ALCAPA)是一种罕见的先天性心脏病,早期即出现严重心功能不全,随着病情进展,最终可诱导严重左心功能不全,最终导致患者死亡。外科手术是治疗ALCAPA的唯一手段。近年来,随着外科手术的进步及体外心脏辅助装置如体外膜肺氧合(ECMO)的广泛应用,ALCAPA的治疗已经取得良好的效果。但其手术指征及方式仍存在争议,术后远期并发症仍不容乐观。本文主要针对手术指征、手术方式及其远期并发症进行综述。
Left anterior descending coronary artery (ALCAPA) is a rare congenital heart disease that presents with severe cardiac insufficiency in the early stages. As the disease progresses, it eventually induces severe left ventricular dysfunction and eventually leads to death. Surgery is the only means of treating ALCAPA. In recent years, with the progress of surgery and extracorporeal cardiac assist devices such as extracorporeal membrane oxygenation (ECMO) is widely used, ALCAPA treatment has achieved good results. However, the surgical indications and methods are still controversial, long-term postoperative complications are still not optimistic. This article focuses on surgical indications, surgical methods and their long-term complications are reviewed.