右冠状动脉起源于左冠窦异常：两例报告。

Anomalous origin of the right coronary artery from the left sinus of Valsalva: report of two cases.

作者信息

Bunai Y, Akaza K, Tsujinaka M, Nagai A, Nakamura I, Ohya I

机构信息

Department of Legal Medicine, Gifu University School of Medicine, 40 Tsukasamachi, Gifu 500-8705, Japan.

出版信息

Forensic Sci Int. 2001 Dec 1;123(2-3):254-6. doi: 10.1016/s0379-0738(01)00551-5.

DOI:10.1016/s0379-0738(01)00551-5

PMID:11728759

Abstract

Anomalous origin of the right coronary artery (RCA) from the left sinus of Valsalva (LSV) is rare and has only recently been recognized as a cause of sudden cardiac death in otherwise healthy individuals. In this report, we describe two cases of anomalous origin of the RCA from the LSV. In the first case, a previously healthy 11-year-old girl died suddenly and unexpectedly. An autopsy revealed no abnormalities, except for anomalous origin of the RCA from the LSV. In the second case, a 21-year-old woman died by drowning in a bath, probably after an episode of syncope brought about by anomalous origin of the RCA from the LSV.

摘要

右冠状动脉（RCA）起源于左冠状动脉窦（LSV）的情况较为罕见，直到最近才被认为是导致原本健康的个体发生心源性猝死的原因。在本报告中，我们描述了两例RCA起源于LSV的病例。第一例中，一名此前健康的11岁女孩突然意外死亡。尸检显示除了RCA起源于LSV外无其他异常。第二例中，一名21岁女性在浴缸中溺水身亡，可能是由RCA起源于LSV引发的晕厥发作所致。