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异常左旋冠状动脉起源于右肺动脉：心脏性猝死未遂的罕见原因。

Anomalous Left Circumflex Coronary Artery Arising from the Right Pulmonary Artery: A Rare Cause of Aborted Sudden Cardiac Death.

作者信息

Liu Bo, Fursevich Dzmitry, O'Dell Matthew C, Flores Miguel, Feranec Nicholas

机构信息

Diagnostic Radiology, Florida Hospital-Orlando.

UCF COM, Florida Hospital-Orlando.

出版信息

Cureus. 2016 Feb 19;8(2):e499. doi: 10.7759/cureus.499.

DOI:10.7759/cureus.499
PMID:27014533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4803535/
Abstract

We report a case of anomalous origin of the left circumflex coronary artery arising from the right pulmonary artery resulting in stress-induced cardiac arrest. The patient collapsed after running a 5K race and was resuscitated. Subsequent workup revealed the culprit anatomy, which was successfully treated with surgical ligation. To the authors' knowledge, this is only the second case of this variant coronary anomaly resulting in aborted sudden cardiac death, subsequent surgical ligation, and recovery in a healthy young adult and is the first case treated by ligation alone without coronary bypass.

摘要

我们报告一例左旋支冠状动脉异常起源于右肺动脉导致应激性心脏骤停的病例。该患者在跑完5公里赛跑后晕倒并被复苏。后续检查发现了病因解剖结构，通过手术结扎成功治疗。据作者所知，这是该变异型冠状动脉异常导致心脏性猝死未遂、随后进行手术结扎并在一名健康年轻成年人中康复的第二例病例，也是首例仅通过结扎而非冠状动脉搭桥治疗的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b81c/4803535/396b25e36551/cureus-0008-000000000499-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b81c/4803535/0d5c85dda518/cureus-0008-000000000499-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b81c/4803535/b8e6d94ed2ec/cureus-0008-000000000499-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b81c/4803535/1c2af5c15ad3/cureus-0008-000000000499-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b81c/4803535/a9c313bcb458/cureus-0008-000000000499-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b81c/4803535/396b25e36551/cureus-0008-000000000499-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b81c/4803535/0d5c85dda518/cureus-0008-000000000499-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b81c/4803535/b8e6d94ed2ec/cureus-0008-000000000499-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b81c/4803535/1c2af5c15ad3/cureus-0008-000000000499-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b81c/4803535/a9c313bcb458/cureus-0008-000000000499-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b81c/4803535/396b25e36551/cureus-0008-000000000499-i05.jpg

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Anomalous origin of left circumflex artery from pulmonary artery.左旋支动脉起源于肺动脉异常。
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