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尽管存在右冠状动脉异常，仍使用 Neomedia 主动脉根部修复术治疗 A 型主动脉夹层。

Neomedia Aortic Root Repair for Type A Aortic Dissection Despite Anomalous Right Coronary Artery.

机构信息

Department of Surgery, Division of Cardiac Surgery, University of Maryland Medical Center, Baltimore, Maryland.

Department of Surgery, Division of Cardiac Surgery, University of Maryland Medical Center, Baltimore, Maryland.

出版信息

Ann Thorac Surg. 2020 Dec;110(6):e513-e515. doi: 10.1016/j.athoracsur.2020.04.023. Epub 2020 May 21.

DOI:10.1016/j.athoracsur.2020.04.023
PMID:32445633
Abstract

An anomalous right coronary artery arising from the left coronary sinus is a rare anatomic variant. Here we report a patient who presented with an acute type A dissection and underwent successful aortic root reconstruction with resuspension of the aortic valve and neomedia creation in the presence of an anomalous right coronary artery with a good clinical outcome.

摘要

发自左冠状窦的异常右冠状动脉是一种罕见的解剖变异。在此，我们报告一例急性 A 型夹层患者，该患者在存在异常右冠状动脉的情况下成功进行了主动脉根部重建，包括主动脉瓣悬吊和新瓣环的建立，临床结果良好。

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Neomedia Aortic Root Repair for Type A Aortic Dissection Despite Anomalous Right Coronary Artery.尽管存在右冠状动脉异常，仍使用 Neomedia 主动脉根部修复术治疗 A 型主动脉夹层。
Ann Thorac Surg. 2020 Dec;110(6):e513-e515. doi: 10.1016/j.athoracsur.2020.04.023. Epub 2020 May 21.
2
Valve-sparing aortic root replacement with translocation of anomalous left coronary artery.保留瓣膜的主动脉根部替换术伴左冠状动脉异常移位。
Ann Thorac Surg. 2013 Oct;96(4):1466-1469. doi: 10.1016/j.athoracsur.2013.01.090.
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[Acute aortic dissection with anomalous coronary artery].[急性主动脉夹层伴冠状动脉异常]
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Long-term results of neomedia sinus valsalva repair in 489 patients with type A aortic dissection.489例A型主动脉夹层患者行新窦瓦氏窦修复术的长期结果
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Beware of an anomalous left circumflex artery when considering aortic valve or root procedures.在考虑主动脉瓣或根部手术时，当心异常左旋支动脉。
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[A case report of bentall type operation for annuloaortic ectasia with anomalous origin of the right coronary artery complicated by aortic dissection].[主动脉瓣环扩张合并右冠状动脉异常起源并主动脉夹层的Bentall术病例报告]
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引用本文的文献

1
Case Report: Anomalous Origin of the Right Coronary Artery From the Left Sinus of Valsalva With Aortic Dissection: New Myocardial Ischemia Mechanism.病例报告：起源于左冠窦的右冠状动脉异常伴主动脉夹层：新的心肌缺血机制
Front Cardiovasc Med. 2022 Jul 7;9:900803. doi: 10.3389/fcvm.2022.900803. eCollection 2022.