Capuano Cinzia, Sesana Marco, Capuano Fabio, Leonzi Ornella, Cuccia Claudio, Troise Giovanni
Catheterization Laboratory, Poliambulanza Hospital, Brescia, Italy.
Cardiovasc Revasc Med. 2007 Jan-Mar;8(1):76-9. doi: 10.1016/j.carrev.2006.10.006.
The right coronary artery (RCA) abnormally originating from the pulmonary trunk (PT) is a rare congenital anomaly. Our patient is a 62-year-old woman with longstanding systemic arterial hypertension and angina pectoris. Angiographic images documented the RCA arising from the PT, and coronary angiography showed severe stenosis (70%) on the distal tract of the left anterior descending artery. The primary treatment of the anomalous origin of RCA from the pulmonary artery is surgical technique. Our surgeons opted for coronary reimplantation; 6-month follow-up has shown very good results, with complete disappearance of symptoms.
右冠状动脉（RCA）异常起源于肺动脉干（PT）是一种罕见的先天性异常。我们的患者是一名62岁女性，患有长期系统性动脉高血压和心绞痛。血管造影图像记录了RCA起源于PT，冠状动脉造影显示左前降支动脉远端严重狭窄（70%）。RCA起源于肺动脉异常的主要治疗方法是手术技术。我们的外科医生选择了冠状动脉再植入术；6个月的随访显示效果非常好，症状完全消失。
