Aubry P, Joudinaud T, Hyafil F
Département de cardiologie, centre hospitalier Bichat-Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris, France.
Ann Cardiol Angeiol (Paris). 2008 Dec;57(6):327-34. doi: 10.1016/j.ancard.2008.10.003. Epub 2008 Oct 16.
In lack of structural congenital heart disease, anomalous origin of a coronary artery is rare with an angiographic prevalence of approximately 1%. The prognosis depending on anatomical features, initial course of coronary ectopic vessel is important to be considered. Although some anomalies are associated with sudden death, the majority are simply incidental anatomic findings. In patients with high-risk coronary anomalies, the treatment is not clearly codified. Large-scale prospective multicenter studies are needed to define recommendations in the future.
在没有结构性先天性心脏病的情况下，冠状动脉异常起源很少见，血管造影患病率约为1%。根据解剖特征判断预后时，冠状动脉异位血管的初始走行很重要，需要加以考虑。虽然有些异常与猝死有关，但大多数只是偶然的解剖学发现。对于高危冠状动脉异常患者，治疗方法尚无明确规范。未来需要大规模前瞻性多中心研究来确定相关建议。
