Sinha Santosh Kumar, Aggarwal Puneet, Razi Mahmodula, Krishna Vinay
Department of Cardiology, LPS Institute of Cardiology and Cardiac Surgery, Kanpur, India.
BMJ Case Rep. 2019 Jul 19;12(7):e229815. doi: 10.1136/bcr-2019-229815.
Coronary artery anomalies are usually an incidental finding on coronary angiogram. Most of them are benign, although few of them are malignant which may cause sudden cardiac death. A 64-year-old diabetic, hypertensive man underwent coronary angiography for evaluation of exertional dyspnoea, and angina which revealed an anomalous left main coronary artery (LMCA) arising from right coronary sinus which was unduly long (79 mm) but free from any disease. To the best of our knowledge after extensive search in literature, this is the longest LMCA to be ever reported. The patient was managed conservatively.
冠状动脉异常通常是冠状动脉造影检查中的偶然发现。它们大多是良性的，尽管少数是恶性的，可能导致心源性猝死。一名64岁的糖尿病、高血压男性因劳力性呼吸困难和心绞痛接受冠状动脉造影检查，结果显示左主干冠状动脉（LMCA）起源于右冠状动脉窦，过长（79毫米）但无任何病变。据我们在文献中广泛检索所知，这是有报道以来最长的左主干冠状动脉。该患者接受了保守治疗。
