성인에서 발견된 좌관상동맥의 폐동맥 이상기시증 -1예 보고- = Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in an Adult -A case report-

국문 초록 (Abstract)

좌관상동맥-폐동맥 이상기시증(anomalous origin of the left coronary artery from pulmonary artery, ALCAPA)은 적절한 외과적 처치를 하지 않을 경우 90%에서 생후 1년 이내에 심근 허혈로 사망하므로, 성인에서 발견되는 경우는 매우 드물다. 저자들은 심부전 증상으로 내원한 41세 ALCAPA 환자 1예를 경험하였고, 직접 좌관상동맥-대동맥 이식술을 시행하여 좋은 결과를 얻었기에 이를 보고하는 바이다.

참고문헌 (Reference)

1 Brooks SJ., "Two cases of abnormal coronary artery of the heart arising from pulmonary artery: with some remarks upon the effect of this anomaly in producing cirsoid dilation of the vessels" 20 : 26-32, 1886

2 Lee J, "Surgical treatment of anomalous connection of the left coronary artery to the pulmonary artery (ALCAPA)" 26 : 228-233, 1993

3 Yam MC, "Mitral valve replacement for severe mitral valve regurgitation in infants with anomalous left coronary artery from the pulmonary artery" 17 : 271-274, 1996

4 Lambert V, "Midterm results after surgical repair of the anomalous origin of the coronary artery" 94 (94): 1138-1143, 1996

5 Jureidini SB, "Anomalous origin of the left coronary artery from the pulmonary trunk: repair after diagnostic cross-sectional echocardiography" 58 : 173-175, 1987

6 Agustsson MH, "Anomalous origin of the left coronary artery from the pulmonary artery diagnosis and treatment of infantile and adult type" 180 : 15-21, 1962