Yokoyama Hugo Alexandre Ross, Pessoa Caio Mário de Almeida, Carvalho Fábio Cardoso de, Campos Ricardo Fernando de, Franco Roberto Jorge da Silva, Bregagnollo Edson Antonio
Hospital Estadual de Bauru, Faculdade de Medicina de Botucatu, UNESP, Bauru, SP, Brazil.
Arq Bras Cardiol. 2007 Mar;88(3):e53-5. doi: 10.1590/s0066-782x2007000300022.
In the present case, we report the performance of coronary angioplasty with stent implantation in the right coronary artery of a patient with high-risk unstable angina and single coronary artery originating from the right coronary sinus. The anterior descending and circumflex arteries originated separately from the proximal third of the right coronary artery. This is a rare coronary anomaly and few reports of percutaneous coronary intervention are found in the literature. This case illustrates the need for a detailed anatomical assessment of the course of the coronary arteries prior to the performance of a percutaneous transluminal angioplasty, with the purpose of preventing complications.
在本病例中，我们报告了对一名高危不稳定型心绞痛且单支冠状动脉起源于右冠状动脉窦的患者进行右冠状动脉冠状动脉血管成形术并植入支架的情况。前降支和回旋支分别起源于右冠状动脉近端三分之一处。这是一种罕见的冠状动脉异常，文献中关于经皮冠状动脉介入治疗的报道很少。本病例说明了在进行经皮腔内血管成形术前需要对冠状动脉走行进行详细的解剖学评估，以预防并发症。
