单一左冠状动脉的罕见三分叉。
Unusual trifurcation of a single left coronary artery.
作者信息
Sinha Santosh Kumar, Aggarwal Puneet, Mishra Vikas, Thakur Ramesh
机构信息
Department of Cardiology, LPS Institute of Cardiology and Cardiac Surgery, Kanpur, Uttar Pradesh, India.
Department of Cardiology, Grant Medical College, Mumbai, India.
出版信息
BMJ Case Rep. 2018 Jan 4;2018:bcr-2017-222213. doi: 10.1136/bcr-2017-222213.
Abstract
Congenital coronary artery anomalies are rare and usually an incidental finding during coronary angiography. Most of the anomalies are benign in nature; however, some are malignant and may result in sudden cardiac death. A 46-year-old woman with diabetes and hypertension underwent coronary angiography for evaluation of exertional angina, which revealed an unusual trifurcation of a single left coronary artery with an anomalous origin of the right coronary artery from the left anterior descending artery but no significant coronary narrowing. The patient was managed conservatively.
摘要
先天性冠状动脉异常较为罕见，通常是在冠状动脉造影时偶然发现。大多数此类异常本质上是良性的；然而，有些是恶性的，可能导致心源性猝死。一名患有糖尿病和高血压的46岁女性因劳力性心绞痛接受冠状动脉造影检查，结果显示左冠状动脉单一主干出现异常的三分叉，右冠状动脉起源于左前降支，但冠状动脉无明显狭窄。该患者接受了保守治疗。
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