Schang S J, Pepine C J, Bemiller C R
Vasc Surg. 1975 Mar-Apr;9(2):67-72. doi: 10.1177/153857447500900201.
A patient presenting with signs and symptoms suggesting myocardial ischemia was found to have anomalous origin of his right coronary artery from the left aortic sinus of valsalva associated with a bicuspid aortic valve. Abnormal left ventricular function with anaerobic myocardial metabolism was documented in the absence of significant coronary artery disease or aortic obstruction. The possible relationship of these findings to the coronary artery anomaly and bicuspid aortic valve is considered. The necessity of identification of the origin of the coronary arteries is re-emphasized in the evaluation of patients with bicuspid aortic valves coming to cardiac catheterization. Anomalous origin of a coronary artery is a rare occurrence. The association of this anomaly with a bicuspid aortic valve has not been emphasized and the possible clinical consequences of this combination of malformations have not been described. We recently evaluated a patient with anomalous origin of right coronary artery from the left coronary ostium and a bicuspid aortic valve. A description of these findings follows.
一名表现出提示心肌缺血的体征和症状的患者被发现右冠状动脉起源于主动脉瓣左窦异常，并伴有二叶式主动脉瓣。在没有明显冠状动脉疾病或主动脉梗阻的情况下，记录到左心室功能异常伴无氧心肌代谢。考虑了这些发现与冠状动脉异常和二叶式主动脉瓣之间的可能关系。在对接受心导管检查的二叶式主动脉瓣患者进行评估时，再次强调了确定冠状动脉起源的必要性。冠状动脉起源异常是一种罕见的情况。这种异常与二叶式主动脉瓣的关联尚未得到重视，并且这种畸形组合可能的临床后果也未被描述。我们最近评估了一名右冠状动脉起源于左冠状动脉口且伴有二叶式主动脉瓣的患者。以下是这些发现的描述。
