Agrawal Hitesh, Sexson-Tejtel S Kristen, Qureshi Athar M, Alam Mahboob, Masand Prakash, Fraser Charles D, Molossi Silvana, Mery Carlos M
Coronary Anomalies Program, Texas Children's Hospital, Houston, Texas; The Lillie Frank Abercrombie Section of Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
Section of Cardiology, Department of Internal Medicine, Baylor College of Medicine, Houston, Texas.
Ann Thorac Surg. 2017 Sep;104(3):e265-e267. doi: 10.1016/j.athoracsur.2017.03.016.
We describe a patient with anomalous left coronary artery with a short intramural course and a previously unrecognized myocardial bridge who presented with a recurrent episode of aborted sudden cardiac death. Intravascular ultrasound and fractional flow reserve showed significant compression at the left coronary artery ostium by the intercoronary pillar and at the myocardial bridge. Intravascular ultrasound and fractional flow reserve were normal after coronary translocation and unroofing of the myocardial bridge. All potential anatomic culprits should be addressed when operating on patients with anomalous coronaries.
我们描述了一名患有左冠状动脉走行异常且壁内段较短以及存在此前未被识别的心肌桥的患者，该患者出现了复发性心脏骤停事件。血管内超声和血流储备分数显示，冠状动脉间支柱在左冠状动脉开口处以及心肌桥处造成了显著压迫。冠状动脉移位和心肌桥开窗术后，血管内超声和血流储备分数恢复正常。对冠状动脉异常的患者进行手术时，应处理所有可能的解剖学病因。
