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一种罕见的冠状动脉异常:非典型性双右冠状动脉伴急性下壁心肌梗死。

A rare coronary anomaly: atypical double right coronary artery with an acute inferior myocardial infarction.

机构信息

Department of Cardiology, Diyarbakir Training and Research Hospital, Diyarbakır, Turkey.

出版信息

Korean Circ J. 2012 Mar;42(3):208-11. doi: 10.4070/kcj.2012.42.3.208. Epub 2012 Mar 26.

DOI:10.4070/kcj.2012.42.3.208
PMID:22493618
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3318095/
Abstract

Coronary artery anomalies are uncommon and often asymptomatic. A double right coronary artery (RCA) is an extremely rare coronary artery anomaly, and only a few cases of double RCA have been reported. We report on an atherosclerotic double RCA that appeared after primary percutaneous intervention in a patient with an acute inferior myocardial infarction. This is the second case in the literature in which coronary arteries can be accepted as a double RCA, which were hidden by a total atherosclerotic occlusion in the proximal part of the RCA.

摘要

冠状动脉异常并不常见,且通常无症状。双右冠状动脉(RCA)是一种极为罕见的冠状动脉异常,仅有少数几例双 RCA 报道。我们报告了一例急性下壁心肌梗死患者行经皮冠状动脉介入治疗(PCI)后出现的动脉粥样硬化性双 RCA。这是文献中第二例可接受的冠状动脉双 RCA,其在 RCA 近端的完全动脉粥样硬化性闭塞中被隐藏。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/935e/3318095/8a163c680085/kcj-42-208-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/935e/3318095/7f6106b9812f/kcj-42-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/935e/3318095/d729dc670438/kcj-42-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/935e/3318095/8a163c680085/kcj-42-208-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/935e/3318095/7f6106b9812f/kcj-42-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/935e/3318095/d729dc670438/kcj-42-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/935e/3318095/8a163c680085/kcj-42-208-g003.jpg

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引用本文的文献

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BMJ Case Rep. 2015 Jul 27;2015:bcr2015210841. doi: 10.1136/bcr-2015-210841.

本文引用的文献

1
An unusual appearance of double right coronary artery.双头右冠状动脉的异常表现。
Cardiol Res Pract. 2010 Sep 29;2010:123846. doi: 10.4061/2010/123846.
2
[Suggestions for definition and classification of double right coronary artery, which is frequently seen in Turkey despite its rarity in the literature].[双支右冠状动脉的定义和分类建议,尽管在文献中罕见,但在土耳其却经常出现]
Anadolu Kardiyol Derg. 2008 Aug;8(4):303-4.
3
Double right coronary artery with acute inferior wall myocardial infarction.双右冠状动脉伴急性下壁心肌梗死。
J Invasive Cardiol. 2008 Feb;20(2):E37-40.
4
Double right coronary artery: report of two cases and review of the literature.双右冠状动脉:两例报告并文献复习
Int J Cardiol. 2008 Nov 12;130(2):e74-7. doi: 10.1016/j.ijcard.2007.11.073. Epub 2008 Jan 22.
5
Human epicardial adipose tissue: a review.人类心外膜脂肪组织:综述
Am Heart J. 2007 Jun;153(6):907-17. doi: 10.1016/j.ahj.2007.03.019.
6
A patient with double right coronary artery and acute inferior myocardial infarction due to the critical lesion in one of them.一名患有双右冠状动脉且因其中一支存在严重病变而导致急性下壁心肌梗死的患者。
Int J Cardiol. 2007 Jun 25;119(1):e30-1. doi: 10.1016/j.ijcard.2007.01.100. Epub 2007 Apr 16.
7
Origin and distribution anomalies of the left anterior descending artery in 70,850 adult patients: multicenter data collection.70850例成年患者左前降支动脉的起源和分布异常:多中心数据收集
Catheter Cardiovasc Interv. 2006 Oct;68(4):574-85. doi: 10.1002/ccd.20858.
8
Inferior myocardial infarction and extensive atherosclerosis in a patient with double right coronary artery.
Int J Cardiol. 2006 Aug 10;111(2):321-3. doi: 10.1016/j.ijcard.2005.11.028. Epub 2006 Jan 18.
9
Echocardiographic epicardial adipose tissue is related to anthropometric and clinical parameters of metabolic syndrome: a new indicator of cardiovascular risk.超声心动图测定的 epicardial 脂肪组织与代谢综合征的人体测量学和临床参数相关:心血管风险的新指标。 注:这里的“epicardial”可能有误,正确的可能是“epicardial adipose tissue”即“心外膜脂肪组织” 。完整准确译文应该是:心外膜脂肪组织的超声心动图测定结果与代谢综合征的人体测量学和临床参数相关:心血管风险的新指标。
J Clin Endocrinol Metab. 2003 Nov;88(11):5163-8. doi: 10.1210/jc.2003-030698.
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Indian Heart J. 2002 Jul-Aug;54(4):428-31.