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右冠状动脉异常导致的下壁心肌梗死

Inferior wall myocardial infarction caused by anomalous right coronary artery.

作者信息

Sloan Kirk, Majdalany David, Connolly Heidi, Schaff Hartzell

机构信息

Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.

出版信息

Can J Cardiol. 2008 Dec;24(12):e102-3. doi: 10.1016/s0828-282x(08)70704-9.

DOI:10.1016/s0828-282x(08)70704-9
PMID:19052676
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2643238/
Abstract

A 50-year-old man without previous coronary disease presented with an inferior myocardial infarction following exercise. He was initially treated with thrombolytic therapy and nitroglycerin. Subsequent coronary angio-graphy and cardiac computed tomography demonstrated an anomalous right coronary artery originating from the left coronary sinus and passing between the aorta and main pulmonary artery. The coronary arteries were otherwise patent. The patient later underwent transaortic unroofing of the anomalous right coronary artery and was discharged in good condition.

摘要

一名既往无冠心病的50岁男性在运动后出现下壁心肌梗死。他最初接受了溶栓治疗和硝酸甘油治疗。随后的冠状动脉造影和心脏计算机断层扫描显示，一条异常的右冠状动脉起源于左冠状窦，并在主动脉和主肺动脉之间穿行。冠状动脉其他部位通畅。该患者后来接受了经主动脉开窗术治疗异常右冠状动脉，出院时情况良好。

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本文引用的文献

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