南方医科大学学报2011，Vol.31Issue(8)：1295-1297,3.
1例左冠状动脉发自右冠状动脉畸形合并亚急性心肌梗死病例的处理
Management of subacute myocardial infarction in a patient with left coronary artery originating from the right coronary artery
周忠江 1卡唯 1曹世平 1王月刚 1黄铮 1郭志刚 1许顶立 1侯玉清1
作者信息
- 1. 南方医科大学南方医院心内科,广东广州510515
- 折叠
摘要
Abstract
Objective Although the majority of coronary artery anomalies are found incidentally and not clinically significant,the interarterial course between the major vessels of the aberrant artery may be responsible for syncope,angina,arrhythmias or sudden death.There are only a few case reports describing the origination of all the coronary arteries from a single ostium.This anomaly occurs in only 0.024%-0.044% of the population.Left coronary artery originating from the fight coronary is a rare coronary abnormality.Here we report a case of acute myocardial infarction in a patient with anomalous left coronary artery originating from the right coronary artery,as was confirmed by computerized tomography angiogram,which showed that only one single coronary artery stem originating from the right sinus of Valsalva trifurcated into a right coronary artery,left circumflex artery and a hypoplastic left anterior descending artery.Subsequent percutaneous coronary intervention (PCI)procedures were performed successfully.PCI procedures should be carried out with great caution in such cases,and this condition should be managed as a left main lesion.关键词
冠状动脉畸形/右冠窦（右瓦氏窦）/心肌梗死/介入治疗Key words
coronary artery abnormality/ right sinus of Valsalva/ myocardial infarction/ percutaneous coronary intervention分类
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周忠江,卡唯,曹世平,王月刚,黄铮,郭志刚,许顶立,侯玉清..1例左冠状动脉发自右冠状动脉畸形合并亚急性心肌梗死病例的处理[J].南方医科大学学报,2011,31(8):1295-1297,3.
