Institute of Cardiology and Center of Excellence on Aging, G d'Annunzio University, Chieti, Italy.
J Cardiovasc Med (Hagerstown). 2010 Oct;11(10):754-7. doi: 10.2459/JCM.0b013e328332e9a5.
Coronary artery anomalies are a rare and often occasional finding at coronary angiography. When patients with ST-elevation myocardial infarction (STEMI) undergo angiography preliminary to a primary percutaneous coronary intervention, a 'missing' coronary artery is usually ascribed to the culprit occluded vessel.Two patients with inferior STEMI were admitted to our cath lab for a primary percutaneous coronary intervention; in both cases an anomalous origin of the left coronary system--partially in one, entirely in the another--from the opposite sinus was documented at urgent angiography. The knowledge and the identification of coronary artery anomalies have extreme clinical relevance in urgent angiography for STEMI patients.
冠状动脉异常是冠状动脉造影时一种罕见且常为偶发的发现。当接受经皮冠状动脉介入治疗（PCI）的 ST 段抬高型心肌梗死（STEMI）患者进行造影初步检查时，通常将“缺失”的冠状动脉归因于闭塞的罪犯血管。两名下壁 STEMI 患者被收治到我们的导管室进行直接 PCI；在这两种情况下，紧急造影均显示左冠状动脉系统异常起源——部分起源于对侧窦，另一种完全起源于对侧窦。在 STEMI 患者的紧急血管造影中，了解和识别冠状动脉异常具有极端的临床意义。
