Department of Cardiothoracic Surgery, National Heart Centre Singapore, Singapore.
Ann Thorac Surg. 2013 Aug;96(2):e43-5. doi: 10.1016/j.athoracsur.2013.01.081.
Anomalous coronary arteries are rare but can lead to serious complications during cardiac operations if not recognized. We report a 55-year-old woman with anomalous origin of the right coronary artery from the left ventricle, and bicuspid aortic valve stenosis. Coronary angiography and computerized tomographic angiography indicated the diagnosis preoperatively. She underwent aortic valve replacement and coronary artery bypass grafting subsequently, with good recovery. One adult and two children with the same right coronary artery anomaly have been reported in the literature. Preoperative diagnosis is essential in these cases, and long-term follow-up is warranted.
异常冠状动脉较为罕见，但如果术前未能识别，可在心脏手术中导致严重并发症。我们报告了一例 55 岁女性，其右冠状动脉发自左心室，且合并二叶式主动脉瓣狭窄。冠状动脉造影和计算机断层血管造影术术前提示了该诊断。患者随后接受了主动脉瓣置换和冠状动脉旁路移植术，恢复良好。文献中已有一例成人和两例儿童存在相同的右冠状动脉异常。这些病例中术前诊断至关重要，需要长期随访。
