Beach L, Burke A, Chute D, Virmani R
Department of Cardiovascular Pathology, Armed Forces Institute of Pathology, Washington, DC 20306-6000, USA.
Arch Pathol Lab Med. 2001 Nov;125(11):1489-90. doi: 10.5858/2001-125-1489-AOOCOF.
Anomalous origin of 4 separate coronary ostia from a single coronary sinus has rarely been reported. We report what is to our knowledge a previously undescribed variation characterized by the left anterior descending, left ramus, left circumflex, and right coronary arteries originating from separate ostia in the right sinus of Valsalva. In addition, the autopsy disclosed features of hypertrophic cardiomyopathy, rarely associated with congenital coronary anomalies.
4条独立冠状动脉口起源于单一冠状窦的异常情况鲜有报道。据我们所知，我们报告了一种此前未描述过的变异，其特征为左前降支、左支、左旋支和右冠状动脉分别起源于主动脉窦右窦内的独立开口。此外，尸检发现了肥厚型心肌病的特征，这种情况很少与先天性冠状动脉异常相关。
