Wu George Renchao, Saini Aman, Ahmed Imtiaz, Finch Charles
Midwestern University, Arizona College of Osteopathic Medicine, 19555 North 59th Ave, Glendale, AZ 85308.
St. Luke's Medical Center, Phoenix, AZ.
Radiol Case Rep. 2017 Jul 27;12(4):664-667. doi: 10.1016/j.radcr.2017.06.006. eCollection 2017 Dec.
Anomalous coronary artery from the opposite sinus is a rare congenital anomaly that can present with symptoms similar to coronary artery disease, and sudden cardiac death. Management of anomalous coronary artery from the opposite sinus varies; however, current guidelines suggest surgery in symptomatic patients. Our patient is a middle-aged male with a history of coronary artery disease and status post coronary artery bypass graft. He presented with complaints of vague chest pain. After a positive stress test, he was sent to the catheterization suite. Diagnosis of an anomalous right coronary artery from the left coronary sinus was made. The patient underwent surgical revascularization and was awaiting follow-up with cardiology at the time of study. A timely diagnosis of an anomalous coronary artery is critical in symptomatic patients because of the risk of sudden cardiac death, especially in patients with arteries with an interarterial course. This case demonstrates the importance of making the correct diagnosis, as appropriate surgical management can drastically improve outcomes.
来自对侧窦的异常冠状动脉是一种罕见的先天性异常，可表现出与冠状动脉疾病相似的症状以及心源性猝死。来自对侧窦的异常冠状动脉的治疗方法各异；然而，当前指南建议对有症状的患者进行手术治疗。我们的患者是一名中年男性，有冠状动脉疾病史且曾接受冠状动脉旁路移植术。他因主诉胸部隐痛前来就诊。在负荷试验呈阳性后，他被送往导管室。诊断为左冠状动脉窦发出异常右冠状动脉。该患者接受了手术血运重建，在研究时正等待心脏病学随访。对于有症状的患者，及时诊断异常冠状动脉至关重要，因为存在心源性猝死风险，尤其是对于动脉走行于动脉间的患者。本病例证明了正确诊断的重要性，因为适当的手术治疗可显著改善预后。
