Kansaku Rei, Saitoh Hirofumi, Eguchi Shoji, Maruyama Yukio, Ohtsuka Hideaki, Higuchi Kotaro
Department of Cardiovascular Surgery, Niigata Kobari Hospital, 3-27-11 Kobari, Nishi-ku, Niigata, Niigata 950-2022, Japan.
Gen Thorac Cardiovasc Surg. 2009 Mar;57(3):144-7. doi: 10.1007/s11748-008-0342-8. Epub 2009 Mar 12.
A 66-year-old man with anomalous origin of the right coronary artery suffered from chest pain. The results of coronary angiography and multidetector computer tomography indicated that the proximal right coronary artery was intermittently compressed, causing the ischemia. Coronary artery bypass grafting was regarded as a reliable treatment compared with percutaneous coronary intervention or other surgeries. Because of plentiful flow of the right coronary artery, we decided to use a vein graft to avoid competitive flow. Postoperative coronary angiography revealed intact flow in both the native coronary artery and the vein graft 1 year after the surgery. The myocardial ischemia seen on scintigraphy and the chest pain had disappeared.
一名66岁右冠状动脉起源异常的男性患者患有胸痛。冠状动脉造影和多排螺旋计算机断层扫描结果表明，右冠状动脉近端间歇性受压，导致缺血。与经皮冠状动脉介入治疗或其他手术相比，冠状动脉旁路移植术被认为是一种可靠的治疗方法。由于右冠状动脉血流丰富，我们决定使用静脉移植物以避免竞争性血流。术后冠状动脉造影显示，术后1年，自身冠状动脉和静脉移植物血流均通畅。闪烁扫描显示的心肌缺血及胸痛已消失。
