Department of Radiology, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Korean Circ J. 2009 May;39(5):175-9. doi: 10.4070/kcj.2009.39.5.175. Epub 2009 May 28.
Anomalous origin of the right or left coronary artery from the contralateral sinus of Valsalva is often asymptomatic, but many patients, particularly young ones, present with sudden death or myocardial ischemia without symptoms. The mechanism of sudden death in this entity is unclear and has not been fully evaluated. These anomalies are rare, and many cardiologists and radiologists are unfamiliar with them. Surgical repair is recommended, especially with anomalous origin of the left coronary artery (LCA). However, there is controversy concerning the treatment of anomalous right coronary artery (RCA) with interarterial course due to its relatively high incidence and the fact that it leads to few, if any, clinical problems.
右冠状动脉或左冠状动脉异常起源于对侧的瓦氏窦是一种常无症状的疾病，但许多患者，尤其是年轻人，表现为猝死或无症状心肌缺血。这种病变猝死的机制尚不清楚，也未被充分评估。这些异常情况较为罕见，许多心脏病专家和放射科医生对此并不熟悉。建议进行手术修复，特别是对于左冠状动脉（LCA）异常起源的患者。然而，对于具有动脉间行程的异常起源的右冠状动脉（RCA）的治疗存在争议，因为其相对较高的发病率以及它很少导致（如果有的话）临床问题。
