Bachar G N, Rechavia E, Russo I, Paz R, Belenky A, Cohen M
Department of Radiology, Rabin Medical Center, Beilinson Campus, Petah Tiqva, Israel.
Harefuah. 2002 Feb;141(2):132-4, 224.
The anomalous origin of the left coronary artery can lead to angina pectoris, acute myocardial infarction or even sudden death, especially during exercise. We present a patient in whom the anomalous origin of the left coronary artery is from the right sinus of Valsalva, crossing between the aorta and the pulmonary trunk and causing ischemic chest pain. The anomaly was verified by a Spiral CT, as the coronary angiographic findings were not conclusive, particularly regarding the left course in relation to the major arteries. We suggest that Spiral CT is useful for detecting this kind of anomaly, particularly in clarifying the relationship between the left main coronary artery and the major arteries.
左冠状动脉异常起源可导致心绞痛、急性心肌梗死甚至猝死，尤其是在运动期间。我们报告一例左冠状动脉异常起源于主动脉窦右窦，走行于主动脉和肺动脉干之间并引起缺血性胸痛的患者。由于冠状动脉造影结果不明确，尤其是关于左冠状动脉与主要动脉的走行关系，螺旋CT证实了这一异常。我们认为螺旋CT有助于检测此类异常，特别是在明确左冠状动脉主干与主要动脉之间的关系方面。
