Department of Cardiology, Clinic Hospital Dubrava, Zagreb, Croatia.
Wien Klin Wochenschr. 2010 Aug;122(15-16):508-10. doi: 10.1007/s00508-010-1420-3. Epub 2010 Aug 2.
Anomalous origin of the right coronary artery is a rare congenital anomaly that was first described in 1948 by White and Edwards. It is well established that an anomalous origin of the right coronary artery can lead to angina pectoris, myocardial infarction, or sudden death, in the absence of atherosclerosis. Thus from the literature data it has been also suggested that the abnormal origin and course of anomalous coronary arteries could make them more prone to atherosclerosis due to altered flow patterns. We report our experience involving one patient who had significant atherosclerotic disease and was successfully treated with percutaneous coronary intervention (PCI) and stent implantation in an anomalous right coronary artery arising from the left coronary artery.
右冠状动脉异常起源是一种罕见的先天性畸形，于 1948 年由 White 和 Edwards 首次描述。众所周知，右冠状动脉异常起源可导致心绞痛、心肌梗死或猝死，而不存在动脉粥样硬化。因此，从文献资料中也可以推测，异常起源和异常冠状动脉的走行可能会使它们更容易受到动脉粥样硬化的影响，因为血流模式发生了改变。我们报告了一例患者的经验，该患者患有严重的动脉粥样硬化疾病，成功地接受了经皮冠状动脉介入治疗（PCI）和支架植入术，治疗起源于左冠状动脉的异常右冠状动脉。
