[回旋支冠状动脉异常导致的心肌缺血]

[Myocardial ischemia caused by an anomalous circumflex coronary artery].

作者信息

Barriales Villa Roberto, Díaz Molina Beatriz, Arias Castaño Juan Carlos, Medina Alba Rodrigo, Casariego Rosón Raúl, Penas Lado Manuel

机构信息

Servicio de Cardiología, Complexo Hospitalario de Pontevedra, Spain.

出版信息

Rev Esp Cardiol. 2002 Feb;55(2):200-2. doi: 10.1016/s0300-8932(02)76581-0.

DOI:10.1016/s0300-8932(02)76581-0

PMID:11852012

Abstract

The case of a 71-year-old male patient, with symptoms of dizzines and atypical chest pain and a positive isotopic exercise stress test, is reported. Coronary angiography demostrated an anomalous origin of the left circumflex coronary artery from right coronary ostium but no obstructive atherosclerotic coronary lesions. The possible relation between the congenital coronary anomaly and the clinical manifestations of the patient is discussed.

摘要

报告了一名71岁男性患者的病例，该患者有头晕和非典型胸痛症状，同位素运动负荷试验呈阳性。冠状动脉造影显示左旋支冠状动脉起源于右冠状动脉开口异常，但无阻塞性动脉粥样硬化性冠状动脉病变。讨论了先天性冠状动脉异常与患者临床表现之间的可能关系。