右冠状动脉起源于左旋远端动脉,患者有不寻常类型的孤立单冠状动脉。

Li-Pin Chou, Chieh Kao, Mou-Chi Lee, Shoa-Lin Lin
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引用次数: 24

摘要

单冠状动脉是一种罕见的先天性异常,通常与其他先天性心脏畸形有关。本报告描述了一个42岁的男性孤立的单一冠状动脉,其中右冠状动脉不是起源于主动脉,而是起源于左旋动脉远端。该患者无其他心血管异常。然而,他经历了心绞痛和心肌缺血的证据。冠状动脉造影显示冠状动脉狭窄不明显。他接受了治疗,反应良好。孤立的单一冠状动脉极为罕见,本病例可能是文献报道的第12例。
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Right coronary artery originating from distal left circumflex artery in a patient with an unusual type of isolated single coronary artery.

Single coronary artery is a rare congenital anomaly and is commonly associated with other congenital cardiac malformations. This report describes a 42-year-old man with an isolated single coronary artery, in whom the right coronary artery did not originate from the aorta but rather from the distal left circumflex artery. This patient did not have any other cardiovascular anomaly. However, he experienced angina pectoris and evidence of myocardial ischemia. Coronary angiography revealed insignificant coronary artery stenosis. He received medical treatment and responded well. An isolated single coronary artery is extremely rare, and this case may be only the 12th case reported in the literature.

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