Misuraca Leonardo, Guerrieri Giuseppe, Calabria Paolo, Cresti Alberto, Picchi Andrea, Limbruno Ugo
U.O. Cardiologia-Emodinamica, Ospedale della Misericordia, Grosseto.
G Ital Cardiol (Rome). 2015 Dec;16(12):700-1. doi: 10.1714/2088.22590.
An 84-year-old male affected by correct transposition of the great arteries was admitted for an acute coronary syndrome, complicated by pulmonary edema. Coronary angiography showed a unique coronary anomaly: a common trunk, situated in the right sinus of Valsalva, gave rise to the left anterior descending coronary artery (LAD), the right coronary artery and an atrial branch; the circumflex coronary artery originated separately but close to the common trunk. A tight stenosis in the proximal LAD was successfully treated by percutaneous coronary intervention.
一名84岁患有大动脉完全转位的男性因急性冠状动脉综合征入院,并发肺水肿。冠状动脉造影显示一种独特的冠状动脉异常:一个位于瓦尔萨尔瓦窦右侧的共同主干发出左前降支冠状动脉(LAD)、右冠状动脉和一支心房支;回旋支冠状动脉单独起源但靠近共同主干。LAD近端的严重狭窄通过经皮冠状动脉介入治疗成功处理。