右冠状动脉起源于左冠窦异常。

Anomalous Origin of Right Coronary Artery From Left Sinus of Valsalva.

作者信息

Lorenzoni Giovanni, Merella Pierluigi, Viola Graziana, Bandino Stefano, Casu Gavino

机构信息

Ospedale San Francesco, Unità Operativa Complessa di Cardiologia, via Mannironi 1, Nuoro, Italy.

出版信息

J Invasive Cardiol. 2019 Sep;31(9):E279.

PMID:31478899

Abstract

We present the imaging series of a 52-year-old woman with no cardiovascular risk factors who was admitted for acute coronary syndrome without persistent ST elevation (NSTEMI). Coronary angiography and cardiac computed tomography demonstrated anomalous origination of the coronary artery from the opposite sinus (ACAOS), which is an uncommon coronary anomaly; the incidence is about 1.07% in general, and only 0.12%-0.9% in the case of right ACAOS. The clinical consequences can be relevant if the ectopic artery has intramural intussusception or courses between the aorta and pulmonary artery.

摘要

我们展示了一名52岁无心血管危险因素女性的影像学系列资料，该患者因非持续性ST段抬高型急性冠状动脉综合征（NSTEMI）入院。冠状动脉造影和心脏计算机断层扫描显示冠状动脉起源于对侧窦（ACAOS），这是一种罕见的冠状动脉异常；总体发病率约为1.07%，右侧ACAOS的发病率仅为0.12%-0.9%。如果异位动脉有壁内套叠或走行于主动脉和肺动脉之间，临床后果可能较为严重。