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[右冠状动脉窦起源左冠状动脉患者的急性冠状动脉综合征疑似病例]

[Acute coronary syndrome suspicion in patient with left coronary artery arising from right coronary sinus].

作者信息

Kern Adam, Górny Jerzy, Rzeszowski Bartłomiej, Witkowska Ewa, Wasilewski Grzegorz

机构信息

Katedra Chorób Wewnętrznych, Gastroenterologii, Kardiologii i Infekcjologii, Wydział Nauk Medycznych, Uniwersytet Warmińsko-Mazurski, Olsztyn.

出版信息

Kardiol Pol. 2013;71(6):611-4. doi: 10.5603/KP.2013.0127.

DOI:10.5603/KP.2013.0127
PMID:23797436
Abstract

We present a case of 73 year-old patient who underwent coronary angiography due to suspicion of acute coronary syndrome without persistent ST segment elevation. The angiographic result showed no lesions that could cause recurrent chest pain,but it also revealed a seldom coronary artery abnormality - left coronary artery arising from right coronary sinus. Performed computed tomography of the chest confirmed the result of the coronarography. But apart from that it found the signs of neoplastic disease which was probably responsible for clinical presentation.

摘要

我们报告一例73岁患者,该患者因疑似非持续性ST段抬高型急性冠状动脉综合征而接受了冠状动脉造影。血管造影结果显示没有可导致复发性胸痛的病变,但也发现了一种罕见的冠状动脉异常——左冠状动脉起源于右冠状动脉窦。胸部计算机断层扫描证实了冠状动脉造影的结果。除此之外,还发现了可能是临床表现原因的肿瘤性疾病迹象。

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