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冠状动脉先天性畸形罕有单独出现者.Ogden(1970)建议作如下分类.(1)重大畸形:冠状动脉起源于肺动脉,冠状动脉-心腔瘘,冠状动脉瘤,冠状动脉开口膜性狭窄.可予手术纠治.(2)轻微畸形:冠状动脉起源于主动脉但部位异常,无须纠治.(3)从属畸形:伴有一种或一种以上心脏畸形.Atlanta州Emony大学医学院(1976.7～1984.6)为1,865例患儿施行2,617次心胸手术.其中21例冠状动脉先天性畸形的患儿接受34次(1.3%)心胸手术,年龄自2个月到15岁不等.现分析如下.
Coronary artery congenital anomalies rarely appear alone .Ogden (1970) suggested the following classification. (1) major deformities: coronary artery originated in the pulmonary artery, coronary - cardiac fistula, coronary aneurysm, coronary artery stenosis. (2) mild deformity: coronary artery originated in the aorta but the site is abnormal, without correction (3) subordinate deformities: accompanied by one or more cardiac malformations. Atlanta state Emony University School of Medicine (1976.7 ~ 1984.6) performed 2,617 cardiothoracic procedures in 1,865 children, of whom 21 (33%) had thoracotomy for 34 (1.3%) patients with congenital anomalies of the coronary arteries, ranging in age from 2 months to 15 years.