Aydin Mustafa, Ozeren Ali, Peksoy Irfan, Cabuk Mehmet, Bilge Mehmet, Dursun Aydin, Elbey Mehmet Ali
Department of Cardiology, School of Medicine, Zonguldak Karaelmas University, 67600 Zonguldak, Turkey.
Tex Heart Inst J. 2004;31(3):273-5.
We present the case of a patient in whom a previously undetected anomalous origin of the circumflex coronary artery caused myocardial ischemia and led to positive myocardial scintigraphic results. Subsequent coronary angiography showed that the left circumflex coronary artery arose from the right coronary ostium-an anomaly that has been associated with chest discomfort-without atherosclerotic lesions. The peripheral distribution of the left circumflex artery was normal. We describe the clinical and angiographic findings in our patient and discuss the relationship between coronary artery anomalies and ischemia.
我们报告了一例患者,其之前未被检测到的回旋支冠状动脉异常起源导致心肌缺血,并使心肌闪烁显像结果呈阳性。随后的冠状动脉造影显示,左旋支冠状动脉起源于右冠状动脉开口——这是一种与胸部不适相关的异常——且无动脉粥样硬化病变。左旋支动脉的外周分布正常。我们描述了该患者的临床和血管造影检查结果,并讨论了冠状动脉异常与缺血之间的关系。