Chérif Ali, Ezzar Taoufik, Mourali Sami, Bouladi Wajih, Mechmèche Rachid
Service des Erplorations Fonctionnelles Cardiaques, Hôpital la Rabta, Tunis.
Tunis Med. 2006 Jan;84(1):40-3.
The authors report the series of 9 patients (6 male and 3 female, aged from 32 to 64 years) with anomalous origin of coronary arteries from the aorta discovered at coronary arteriography. In 4 cases, the circumflex, artery aries from the right coronary sinus and in 5 cases, the right coronary artery arises from the left coronary sinus. Severe atherosclerotic coronary disease was discovered in 5 cases. We conclude that aberrant coronary origin from the aorta is a rare congenital anomalous discovered usually at coronary angiography and certain patients with this anomalous can develop severe myocardial ischemia especially when a vessel runs between the aorta and pulmonary artery.
作者报告了9例（6例男性，3例女性，年龄32至64岁）在冠状动脉造影时发现的冠状动脉起源于主动脉异常的病例。4例中，回旋支动脉起源于右冠状动脉窦，5例中，右冠状动脉起源于左冠状动脉窦。5例发现有严重的动脉粥样硬化性冠状动脉疾病。我们得出结论，主动脉冠状动脉起源异常是一种罕见的先天性异常，通常在冠状动脉造影时发现，某些患有这种异常的患者可能会发生严重的心肌缺血，尤其是当一支血管走行于主动脉和肺动脉之间时。
