Braun Martin U, Stolte Dirk, Rauwolf Thomas, Strasser Ruth H
Medical Clinic II, Department of Internal Medicine and Cardiology, University of Technology Dresden, Fetscherstr. 76, 01307 Dresden, Germany.
Clin Res Cardiol. 2006 Feb;95(2):119-21. doi: 10.1007/s00392-006-0330-x. Epub 2006 Jan 16.
A single coronary artery is a rare congenital anomaly with an incidence of 0.02-0.04%. We report on a 65-year-old male presenting with atypical chest pain and a history of hypertension and hypercholesterinemia, having diagnosed a very rare variant of a single coronary artery arising from the right sinus of Valsalva continuing as circumflex coronary artery (LCX) and thereafter as left anterior descending artery (LAD). Because the patient was asymptomatic on antiischemic medication and had a proposed relative benign course, we recommended medical treatment without coronary artery bypass surgery, and the patient has been in fine condition up to now (11 months after angiography).
单支冠状动脉是一种罕见的先天性异常，发病率为0.02 - 0.04%。我们报告一例65岁男性，有非典型胸痛症状，并有高血压和高胆固醇血症病史，诊断为一种非常罕见的单支冠状动脉变异类型，起源于瓦尔萨尔瓦右窦，延续为回旋支冠状动脉（LCX），之后又延续为左前降支动脉（LAD）。由于患者在接受抗缺血药物治疗时无症状，且病程相对良性，我们建议进行药物治疗而非冠状动脉搭桥手术，该患者目前（血管造影术后11个月）状况良好。
