1例伴有少见类型单支冠状动脉病变的ST段抬高型心肌梗死
A case of ST segment-elevated myocardial infarction with less common forms of single coronary artery.
作者信息
Koga Masashi, Kawamura Yota, Ito Daiki, Iseki Harukazu, Ikari Yuji
机构信息
Cardiovascular Center, Sagamihara Kyodo Hospital, Sagamihara, Japan.
Department of Internal Medicine, Division of Cardiology, Tokai University Hachioji Hospital, 1838 Ishikawa-cho, Hachioji, Tokyo, 192-0032, Japan.
出版信息
Cardiovasc Interv Ther. 2016 Oct;31(4):304-8. doi: 10.1007/s12928-015-0357-x. Epub 2015 Sep 22.
A 60 year-old man presenting with chest pain was diagnosed with acute ST-elevated myocardial infarction. An emergency coronary angiography showed distal left circumflex artery (LCX) occlusion. The ostium of the right coronary artery (RCA) was not detectable. Following primary percutaneous coronary intervention in the occluded LCX, we confirmed that RCA region was fed from both LAD and LCX. Coronary computed tomography showed similar findings. This single coronary artery anomaly is extremely rare and cannot be categorized according to the established classification system.
一名60岁胸痛患者被诊断为急性ST段抬高型心肌梗死。急诊冠状动脉造影显示左旋支动脉（LCX）远端闭塞。右冠状动脉（RCA）开口无法检测到。在对闭塞的LCX进行直接经皮冠状动脉介入治疗后，我们证实RCA区域由左前降支动脉（LAD）和LCX共同供血。冠状动脉计算机断层扫描显示了类似的结果。这种单一冠状动脉异常极为罕见，无法根据既定的分类系统进行归类。
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