Vavouranakis Ioannis, Hamilos Michael I, Kochiadakis George E, Vardas Panos E
Int J Cardiol. 2007 Oct 18;121(3):323-5. doi: 10.1016/j.ijcard.2006.11.019. Epub 2007 Mar 6.
Anomalous origin of the left anterior descending coronary artery is a very rare coronary vascular anomaly, especially in adults. We describe the case of a 45-year-old woman who presented with an acute coronary syndrome. Coronary angiography revealed an anomalous origin of the left anterior descending coronary artery from the main pulmonary trunk, with collateral filling from both the left circumflex and the right coronary artery. Treatment of choice of this coronary anomaly is usually surgical repair, while intense antithrombotic therapy should be considered, especially if the anomalous vessel is ectatic.
左前降支冠状动脉异常起源是一种非常罕见的冠状动脉血管异常，尤其是在成年人中。我们描述了一名45岁女性出现急性冠状动脉综合征的病例。冠状动脉造影显示左前降支冠状动脉起源于主肺动脉干，由左旋支和右冠状动脉提供侧支供血。这种冠状动脉异常的首选治疗方法通常是手术修复，同时应考虑强化抗血栓治疗，特别是在异常血管扩张的情况下。
