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成功行直接经皮冠状动脉介入治疗急性心肌梗死合并单冠状动脉开口患者

Successful primary percutaneous coronary intervention in a patient with acute myocardial infarction and single coronary artery ostium.

机构信息

Department of Cardiology, Chonnam National University Hospital, Korea Cardiovascular Stent Research Institute of Chonnam National University, Gwangju, Korea.

出版信息

Korean Circ J. 2012 Apr;42(4):284-7. doi: 10.4070/kcj.2012.42.4.284. Epub 2012 Apr 26.

DOI:10.4070/kcj.2012.42.4.284
PMID:22563344
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3341428/
Abstract

One of the single anomalous origins of coronary artery that has rarely been reported is a congenital anomaly of coronary circulation that occurs in the left coronary artery originating from the right coronary sinus of valsalva. We report a 49-year-old male patient with non-ST segment elevated myocardial infarction that was identified to have an anomalous origin of the left coronary artery from the right coronary artery (RCA) with thrombotic total occlusion of RCA by coronary angiography and cardiac computed tomography. The patient underwent successful percutaneous coronary intervention in total occlusion of the RCA and was discharged after uneventful recovery.

摘要

有一种单一的冠状动脉异常起源，很少有报道，即冠状动脉循环的先天性异常，发生在左冠状动脉起源于右冠状动脉窦瓦萨尔。我们报告了一例 49 岁男性非 ST 段抬高型心肌梗死患者，经冠状动脉造影和心脏计算机断层扫描发现左冠状动脉异常起源于右冠状动脉（RCA），RCA 血栓性完全闭塞。患者成功接受了 RCA 完全闭塞的经皮冠状动脉介入治疗，在无并发症恢复后出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5570/3341428/f9a6b9d14dca/kcj-42-284-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5570/3341428/960ab130e8b3/kcj-42-284-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5570/3341428/bd7aa9207dd8/kcj-42-284-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5570/3341428/58490686c8ca/kcj-42-284-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5570/3341428/f9a6b9d14dca/kcj-42-284-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5570/3341428/960ab130e8b3/kcj-42-284-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5570/3341428/bd7aa9207dd8/kcj-42-284-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5570/3341428/58490686c8ca/kcj-42-284-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5570/3341428/f9a6b9d14dca/kcj-42-284-g004.jpg

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本文引用的文献

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Prevalence of coronary artery anomalies in 12,457 adult patients who underwent coronary angiography.12457 例行冠状动脉造影术的成年患者中心冠状动脉异常的发生率。
Clin Cardiol. 2010 Dec;33(12):E60-4. doi: 10.1002/clc.20588.
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Percutaneous coronary intervention of an anomalous right coronary artery originating from the left coronary artery.经皮冠状动脉介入治疗起源于左冠状动脉的异常右冠状动脉。
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