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单支优势右冠状动脉合并左冠状动脉发育不全的先天性异常

Congenital Anomaly of Single Dominant Right Coronary Artery with Hypoplastic Left Coronary Artery.

作者信息

Chuang Cheng-Yen, Chen Yen-Chou, Cheng Ho-Shun, Hsieh Ming-Hsiung

机构信息

Division of Cardiovascular Medicine, Department of Internal Medicine, Wan-Fang Hospital, Taipei Medical University;

Division of Cardiovascular Medicine, Department of Internal Medicine, Wan-Fang Hospital, Taipei Medical University; ; Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.

出版信息

Acta Cardiol Sin. 2015 Nov;31(6):557-9. doi: 10.6515/acs20150119f.

DOI:10.6515/acs20150119f

PMID:27122922

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4804982/

Abstract

UNLABELLED

With the popularization of new imaging technology, more people are deciding to undergo non-invasive studies such as multidetector computerized tomography (MDCT) before receiving coronary angiography. For this reason, coronary anomalies of coronary artery are being encountered more frequently. We here report a 68-year-old male presenting with typical angina. The MDCT images suggested chronic total occlusion of the left anterior descending (LAD) artery with collateral circulation from the right coronary artery (RCA). The patient's coronary angiography showed a congenital coronary anomaly with a single dominant RCA supplying the entire coronary circulation of the heart with both LAD and left circumflex artery hypoplasia.

KEY WORDS

Angiography; Anomaly; Computerized tomography; Coronary artery.

摘要

未标注

随着新型成像技术的普及，越来越多的人在接受冠状动脉造影之前决定进行多排螺旋计算机断层扫描（MDCT）等无创检查。因此，冠状动脉异常的情况越来越常见。我们在此报告一名68岁男性，表现为典型心绞痛。MDCT图像显示左前降支（LAD）动脉慢性完全闭塞，有来自右冠状动脉（RCA）的侧支循环。患者的冠状动脉造影显示先天性冠状动脉异常，单一优势RCA供应心脏的整个冠状动脉循环，LAD和左旋支动脉发育不全。