Cicek Darvan, Gokay Seher, Eldem Halil Olcay, Muderrisoglu Haldun
Department of Cardiology, Baskent University School of Medicine, Alanya/Antalya.
Department of Cardiology, Baskent University School of Medicine, Ankara, Turkey.
Clin Pract. 2011 Apr 19;1(2):e22. doi: 10.4081/cp.2011.e22. eCollection 2011 May 16.
Although coronary artery anomalies may cause some clinical symptoms, most are incidentally discovered as benign findings on coronary angiograms. A circumflex coronary artery anomalously originating from the right sinus of Valsalva is the most common coronary anomaly. However, a double circumflex coronary artery, both stenotic in their mid portions, resulting in symptomatic heart failure is a rare clinical and angiographic condition. In this case, we present a 71-year-old male patient admitted to our clinic with the diagnosis of acute heart failure. Angiography revealed stenotic double circumflex arteries, arising from the left and right sinus of Valsalva, and the patient was treated by percutaneous coronary intervention.
虽然冠状动脉异常可能会引起一些临床症状，但大多数是在冠状动脉造影时作为良性发现而偶然被发现的。起源于瓦尔萨尔瓦右窦的异常回旋支冠状动脉是最常见的冠状动脉异常。然而，双回旋支冠状动脉在其走行中部均有狭窄，并导致症状性心力衰竭，这在临床和血管造影中是一种罕见的情况。在此病例中，我们报告了一名71岁男性患者，因急性心力衰竭入院。血管造影显示狭窄的双回旋支动脉分别起源于瓦尔萨尔瓦左窦和右窦，该患者接受了经皮冠状动脉介入治疗。
