Yim Deane L S, Hamilton Mark C K, Tulloh Robert M R
Bristol Congenital Heart Centre, University Hospitals Bristol NHS Foundation Trust, Upper Maudlin Street, Bristol, United Kingdom.
Cardiol Young. 2012 Apr;22(2):206-8. doi: 10.1017/S104795111100103X. Epub 2011 Jul 19.
We report the case of an adolescent who was presented with long-standing exertional symptoms, and was diagnosed with an anomalous right coronary arterial origin arising above the commissural junction between the left and right aortic sinus, with inter-arterial and intramural compression. The precise origin of this lesion outside the aortic sinuses is unusual, and multi-detector computed tomography gave excellent definition and spatial resolution of the anomalous origin and course. It is crucial to have a high index of suspicion of exertional symptoms, as sudden death may be the first manifestation of an anomalous coronary artery.
我们报告了一例青少年病例，该患者长期存在运动相关症状，被诊断为右冠状动脉起源异常，起自左、右主动脉窦之间的瓣叶交界上方，并伴有动脉间和壁内压迫。这种病变在主动脉窦外的精确起源并不常见，多排螺旋计算机断层扫描对异常起源和走行给出了极佳的清晰度和空间分辨率。对运动相关症状保持高度怀疑至关重要，因为猝死可能是异常冠状动脉的首发表现。
