右冠状动脉异常起源：诊断与治疗

Anomalous origin of the right coronary artery: diagnosis and treatment.

作者信息

Leme Neto Antonio Carvalho, Carvalho Roberto Gomes de, Rauen Remulo José, Melnick Gilberto, Carvalho Gustavo, Marchiori Janaine

机构信息

Hospital Santa Cruz, Curitiba, PR, Brasil.

出版信息

Arq Bras Cardiol. 2007 Nov;89(5):e132-5. doi: 10.1590/s0066-782x2007001700013.

DOI:10.1590/s0066-782x2007001700013

PMID:18066443

Abstract

We report the case of a rare anomaly of the right coronary artery (RCA) arising from the left aortic sinus, having a single ostium with the left coronary artery, associated with documented episodes of inferior ischemia, in which surgical treatment with a right internal thoracic artery to RCA bypass graft and the corresponding ligation provided greater stability to the coronary blood flow and good clinical progress.

摘要

我们报告了一例罕见的右冠状动脉（RCA）异常病例，该右冠状动脉起源于左主动脉窦，与左冠状动脉共用一个开口，并伴有下壁缺血发作的记录。在该病例中，采用右胸廓内动脉至右冠状动脉旁路移植术及相应结扎术进行手术治疗，可使冠状动脉血流更稳定，并取得了良好的临床进展。