Shinoda Daigo, Nakano Mitsunori, Yuri Koichi
Department of Cardiovascular Surgery, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan.
Kyobu Geka. 2021 Aug;74(8):602-605.
An anomalous right coronary artery originating from the left Valsalva is rare, but sometimes causes sudden cardiac death in a healthy young to middle-aged patient. We present a case of 30-year-old male who was suggested from cardiopulmonary arrest, during playing basketball. He was resuscitated using automated external defibrillator, and was brought to the emergency department. Electrocardiogram showed no ST segment elevation. Coronary angiography and computed tomography revealed anomalous right coronary artery, which originated from the left sinus of Valsalva, and ran between the aorta and the pulmonary artery trunk. Coronary artery bypass grafting was performed using the right internal thoracic arterial graft, with proximal native coronary artery ligation. He was discharged on the nineth postoperative day and had no chest symptoms for seven months.
起源于左冠窦的异常右冠状动脉很少见，但有时会导致健康的中青年患者突然心脏性死亡。我们报告一例30岁男性病例，该患者在打篮球时发生心肺骤停。使用自动体外除颤器对其进行了复苏，并将其送至急诊科。心电图显示无ST段抬高。冠状动脉造影和计算机断层扫描显示异常右冠状动脉起源于左冠窦，并走行于主动脉和肺动脉干之间。使用右胸廓内动脉移植物进行冠状动脉旁路移植术，并结扎近端自体冠状动脉。患者术后第9天出院，术后7个月无胸部症状。
