Hailu Abraha, Chin Diana, Musto Carmine, Fiorilli Rosario, Violini Roberto
Ethiop Med J. 2017 Jan;55(1):73-6.
We describe a 63 year old Romanian female patient admitted to our institution with complaints of typical angina and a diagnosis of non ST-elevation myocardial infarction. Coronary arteriography unveiled anomalous origin of a left circumflex coronary artery from the right coronary sinus of Valsalva near the right coronary ostium and a hyperdominant left anterior descending coronary artery giving off a posterior descending coronary artery with small distal-posterolateral left ventricular branch. The co-existence of a left circumflex coronary artery originating ectopically from the right sinus of Valsalva together with a posterior descending coronary artery originating from the distal end of the anterior descending artery is important to keep in mind especially by those doing coronary angiography in the cardiac catheterization laboratory.
我们描述了一名63岁的罗马尼亚女性患者，因典型心绞痛症状入院，被诊断为非ST段抬高型心肌梗死。冠状动脉造影显示左旋支冠状动脉起源异常，发自右冠状动脉开口附近的右冠窦，左前降支冠状动脉优势明显，发出一支后降支冠状动脉及较小的左室后外侧分支。尤其对于在心脏导管实验室进行冠状动脉造影的人员来说，牢记发自右冠窦的左旋支冠状动脉异位起源与发自前降支远端的后降支冠状动脉并存这一情况非常重要。
