Nishino Takako, Saga Toshihiko, Kitayama Hitoshi, Kaneda Toshio, Nakamoto Susumu, Takaba Kiyoaki, Imura Masato, Ogawa Tatsuya, Satsu Takuma, Fujii Kousuke, Yukami Shintaro
Department of Cardiovascular Surgery, Kinki University School of Medicine, Osakasayama, Japan.
Kyobu Geka. 2012 Jun;65(6):471-4.
A 38-year-old man was diagnosed with acute type A aortic dissection and severe aortic regurgitation, and taken immediately to the operating room for repair of the ascending aorta using the Bentall procedure. The presence of the anomalous right coronary artery was revealed at the time of the procedure, and was repaired with single coronary button technique. Some case reports have described anomalous coronary artery in association with acute myocardiac infarction or angina pectoris. This report describes a case of anomalous coronary artery diagnosed during an emergency operation for aortic dissection.
一名38岁男性被诊断为急性A型主动脉夹层和严重主动脉瓣关闭不全，随即被送往手术室，采用Bentall手术修复升主动脉。手术过程中发现右冠状动脉异常，并采用单冠状动脉纽扣技术进行修复。一些病例报告描述了异常冠状动脉与急性心肌梗死或心绞痛相关。本报告描述了一例在主动脉夹层急诊手术中诊断出的异常冠状动脉病例。
