Cardiology Department, Marie Lannelongue Hospital, Le Plessis-Robinson, France.
Radiology Department, Marie Lannelongue Hospital, Le Plessis-Robinson, France.
Can J Cardiol. 2018 Sep;34(9):1233.e5-1233.e8. doi: 10.1016/j.cjca.2018.05.026. Epub 2018 Jun 8.
Congenital coronary artery disease (CAD) is commonly asymptomatic and often benign. Investigation of potential myocardial ischemia is also necessary. We report an original observation of abnormal origin and course of the right coronary artery (RCA), abnormal left main artery, and agenesis of the left anterior descending (LAD) artery. This is the first report of an association of 3 types of congenital coronary artery anomaly according to the modified Angelini's classification. This high-risk condition was successfully treated surgically.
先天性冠状动脉疾病（CAD）通常无症状，且通常良性。也有必要对潜在的心肌缺血进行调查。我们报告了一例右冠状动脉（RCA）起源和走行异常、左主干异常和左前降支（LAD）动脉缺失的原始观察结果。这是首例根据改良的Angelini 分类报告的 3 种先天性冠状动脉异常的联合病例。这种高风险情况成功地通过手术治疗。
