Dogan Sait Mesut, Gursurer Metin, Aydin Mustafa, Gocer Hakan, Cabuk Mehmet, Dursun Aydin
Int J Cardiol. 2006 Oct 10;112(3):e57-9. doi: 10.1016/j.ijcard.2006.03.063. Epub 2006 Jul 11.
We present the case of a patient in anomalous origin of the left anterior descending coronary artery that caused myocardial ischemia and led to positive myocardial scintigraphic results. Coronary angiography showed that the left anterior descending coronary artery arose from the right coronary ostium-an anomaly that has been associated with chest discomfort-without atherosclerotic lesions. Left circumflex artery and the diagonal branches were arising from the left main coronary artery and the whole coronary tree were free of atherosclerosis.
我们报告一例左前降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的患者。冠状动脉造影显示左前降支冠状动脉起源于右冠状动脉开口——这种异常与胸部不适有关——且无动脉粥样硬化病变。左旋支动脉和对角支起源于左冠状动脉主干,整个冠状动脉树均无动脉粥样硬化。