Oteh M, Azarisman S M, Hanim N M, Noorfaizan S
Department of Medicine, Hospital Universiti Kebangsaan Malaysia, Jalan Tenteram, Bandar Tun Razak, Kuala Lumpur 56000, Malaysia.
Singapore Med J. 2009 Feb;50(2):e76-8.
Congenital coronary artery anomalies are rare, with an incidence of about 0.06-1.3 percent of all patients undergoing cardiac catheterisation. They are commonly asymptomatic, but potentially serious lesions may lead to myocardial ischaemia, infarction and/or sudden cardiac death. The occurrence of a concomitant stenotic lesion is exceedingly rare. We report an 80-year-old man who presented with acute anterior myocardial infarction. Coronary angiography revealed severe proximal left anterior descending (LAD) and arteriovenous malformation (AVM) from the first septal branch of the LAD. The LAD stenosis and the AVM were successfully treated with two Jomed covered stents.
先天性冠状动脉异常较为罕见，在所有接受心导管检查的患者中发生率约为0.06% - 1.3%。它们通常无症状，但潜在的严重病变可能导致心肌缺血、梗死和/或心源性猝死。同时存在狭窄病变的情况极为罕见。我们报告一名80岁男性，他因急性前壁心肌梗死就诊。冠状动脉造影显示左前降支（LAD）近端严重狭窄以及LAD第一间隔支的动静脉畸形（AVM）。使用两枚Jomed覆膜支架成功治疗了LAD狭窄和AVM。
