Al Ghorani Hussam, Schwarz Viktoria, Vukadinovic Davor, Fries Peter, Scheller Bruno, Mahfoud Felix
Clinic for Internal Medicine III (Cardiology, Angiology, and Intensive Care Medicine), Saarland University Hospital, Kirrberger Str. 100, Gebäude 41, 66421 Homburg, Saar, Germany.
Clinic for Diagnostic and Interventional Radiology, Saarland University Hospital, Homburg, Germany.
J Cardiol Cases. 2020 Dec 7;23(5):246-249. doi: 10.1016/j.jccase.2020.11.020. eCollection 2021 May.
A 53-year-old woman was referred to our hospital with acute coronary syndrome. The coronary angiography demonstrated a single coronary artery. Culprit lesion was a subtotal occlusion of the proximal left anterior descending coronary artery, which was recanalized and treated with drug-coated balloon angioplasty. The patient recovered quickly after the procedure. A coronary computed tomography angiography visualized the left main coronary artery, which was passing between the ascending aorta and the pulmonary trunk and categorized this anomaly as R-II-B according to Lipton's classification, representing an extremely rare coronary anomaly. < ST-segment elevation myocardial infarction can present with atypical electrocardiographic manifestations. Percutaneous coronary intervention with drug-coated balloon may be considered in patients with relevant coronary stenosis in an anomalous coronary artery.>.
一名53岁女性因急性冠状动脉综合征转诊至我院。冠状动脉造影显示为单支冠状动脉。罪犯病变是左前降支近端次全闭塞，该病变进行了再通并接受了药物涂层球囊血管成形术治疗。术后患者恢复迅速。冠状动脉计算机断层扫描血管造影显示左主干冠状动脉，其走行于升主动脉和肺动脉干之间，根据利普顿分类法将此异常归类为R-II-B型，这是一种极其罕见的冠状动脉异常。<ST段抬高型心肌梗死可能表现为非典型心电图表现。对于异常冠状动脉中有相关冠状动脉狭窄的患者，可考虑采用药物涂层球囊进行经皮冠状动脉介入治疗。>
