Qiu QiongYa, Yang JinXiu, Wang XingXiang
1 Cardiology Department, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
2 Cardiology Department, The First Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
J Int Med Res. 2019 Jun;47(6):2687-2693. doi: 10.1177/0300060519841509. Epub 2019 Apr 14.
A 61-year-old Chinese man presented with a nearly 30-year history of an anomalous origin of the left coronary artery. He had been diagnosed with an anomalous origin of the left coronary artery in 1989. He then underwent regular echocardiographic examinations and it was found that his heart was gradually enlarging. After a >20-year asymptomatic period, he developed recurrent chest discomfort and palpitation. Coronary computed tomography angiography suggested that the left coronary artery anomaly originated from the pulmonary artery; additionally, the right coronary artery was tortuous and thickened. Coronary angiography showed that the right coronary artery was huge and buckling. The patient underwent corrective surgery of the anomalous origin of the left coronary artery from the pulmonary artery, aortic valve mechanical valve replacement, mitral valve plasty, and tricuspid valve plasty in Fuwai Hospital (National Center of Cardiovascular Disease of China), and the anatomic results of the surgery were good.
一名61岁的中国男性，有近30年的左冠状动脉异常起源病史。他于1989年被诊断为左冠状动脉异常起源。此后他接受了定期超声心动图检查，发现心脏逐渐增大。经过20多年的无症状期后，他出现了反复的胸部不适和心悸。冠状动脉计算机断层扫描血管造影显示左冠状动脉异常起源于肺动脉；此外，右冠状动脉迂曲且增粗。冠状动脉造影显示右冠状动脉粗大且弯曲。该患者在中国医学科学院阜外医院（国家心血管病中心）接受了左冠状动脉起源于肺动脉异常的矫正手术、主动脉瓣机械瓣置换术、二尖瓣成形术和三尖瓣成形术，手术解剖结果良好。
