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 Junior 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. 2008 Feb;90(2):e9-12. doi: 10.1590/s0066-782x2008000200014.

DOI:10.1590/s0066-782x2008000200014

PMID:18392373

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搭桥术及相应结扎术进行手术治疗，使冠状动脉血流更稳定，并取得了良好的临床进展。