Abstract：
In recent years, with advancements in surgical techniques and the widespread utilization of extracorporeal cardiac assist devices such as extracorporeal membrane oxygenation (ECMO), the treatment outcomes for ALCAPA (Anomalous left coronary artery from the pulmonary artery) have demonstrated significant improvements. However, the surgical indications and methods of ALCAPA, especially the surgical methods of ALCAPA with intramural coronary artery, and whether to treat MR at the same time are still controversial. The long-term prognosis remain discouraging simultaneously, with significant variations in outcomes across different centers. The present review specifically addresses these aforementioned concerns. This article reviews the pathophysiology and classification, diagnosis, indications, surgical strategy and prognosis of ALCAPA. We believe that this review will provide some reference for future researchers and provide new ideas for reducing the adverse prognosis of children with congenital heart disease in future.
摘要：
近年来,随着外科技术的进步和体外心脏辅助装置如体外膜氧合（ECMO）的广泛使用，ALCAPA(来自肺动脉的异常左冠状动脉)的治疗结果已证明显著改善.然而,ALCAPA的手术适应症和方法，特别是冠状动脉壁内ALCAPA的手术方法，是否同时治疗MR仍存在争议。长期预后仍然令人沮丧，同时，不同中心的结果存在显著差异。本审查具体解决了上述这些问题。本文综述了病理生理学和分类，诊断,适应症,ALCAPA的手术策略和预后。相信本综述将为今后的研究者提供一定的参考,为今后降低先天性心脏病患儿的不良预后提供新的思路。
