Cardiology Department, Lady Davis Carmel Medical Center, 7 Michal Street, Haifa 34362, Israel.
Cardiology Department, Lady Davis Carmel Medical Center, 7 Michal Street, Haifa 34362, Israel.
Int J Cardiol. 2017 Dec 1;248:149-151. doi: 10.1016/j.ijcard.2017.07.090. Epub 2017 Aug 4.
The diagnosis of anomalous origin of the left main coronary artery from the right coronary sinus with an interarterial course in children and adolescents is considered life-threatening and clinical guidelines recommend surgical correction. The prognostic implications of this diagnosis in adults are not clear. This anomaly may present in adults as sudden cardiac death or may be diagnosed incidentally. Treatment of this anomaly in adults should be tailored individually taking into account the clinical presentation and patient characteristics.
左主干冠状动脉发自右冠状窦并经左冠状动脉前降支与左回旋支之间异常起源的诊断被认为是危及生命的，临床指南建议进行手术矫正。然而，该诊断在成年人中的预后意义尚不清楚。这种异常在成年人中可能表现为心源性猝死，也可能是偶然诊断出来的。对于成年人，应该根据临床表现和患者特征，个体化地制定治疗方案。
