Tsunemoto Hideo, Yamaura Kazuhiro
Department of Cardiovascular Surgery, Aizawa Hospital, Matsumoto, Japan.
Kyobu Geka. 2016 Aug;69(9):774-7.
Single coronary artery is rear. Various combination anomalies have been reported in patients with this anomaly undergoing heart surgery. We report a case of annuloaortic ectasia combined with single coronary artery and ventricular septal defect. The patient was a 67-year-old man with exertional dyspnea. Coronary angiography and computed tomography revealed a single coronary artery. Aortography showed severe aortic regurgitation and dilatation of Valsalva sinus. Ultrasonic cardiography showed small ventricular septal defect at the membranous septum. He underwent Modified Bentall's operation. He recovered without any complications. An annuloaortic ectasia associated with single coronary and ventricular septal defect is a very rare combination.
单一冠状动脉位于后方。有报道称,接受心脏手术的此类异常患者存在各种合并畸形。我们报告一例主动脉瓣环扩张合并单一冠状动脉及室间隔缺损的病例。该患者为一名67岁男性,有劳力性呼吸困难症状。冠状动脉造影和计算机断层扫描显示为单一冠状动脉。主动脉造影显示严重主动脉瓣反流及主动脉窦扩张。超声心动图显示膜周部小室间隔缺损。他接受了改良Bentall手术。术后恢复良好,无任何并发症。主动脉瓣环扩张合并单一冠状动脉及室间隔缺损是一种非常罕见的组合。