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单支冠状动脉开口合并三支血管病变的冠状动脉搭桥术

Coronary artery bypass graft in an isolated single coronary ostium with triple vessel disease.

作者信息

Al-Sarraf Nael, Chandrasekar Baskaran

机构信息

Department of Cardiac Surgery, Chest Diseases Hospital, Kuwait.

Department of Cardiology, Chest Diseases Hospital, Kuwait.

出版信息

J Surg Case Rep. 2021 Nov 30;2021(11):rjab516. doi: 10.1093/jscr/rjab516. eCollection 2021 Nov.

DOI:10.1093/jscr/rjab516
PMID:34858576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8634322/
Abstract

Single coronary artery (SCA) is a rare congenital anomaly whereby only one coronary artery arises from single coronary artery ostium of the aortic trunk and supplies the whole heart. The incidence of this anomaly is 0.0024-0.066% in patients undergoing coronary angiography. It is usually an isolated anomaly and majority of patients are picked up incidentally. Lipton classification is widely used to classify this anomaly. Most cases are detected by computerized tomography and/or coronary angiography and are treated medically. Here, we present a rare case of type RII-B in which the patient underwent coronary artery bypass graft for severe triple vessel disease presenting as acute myocardial infarction.

摘要

单冠状动脉（SCA）是一种罕见的先天性异常，即只有一条冠状动脉从主动脉干的单个冠状动脉开口发出并供应整个心脏。在接受冠状动脉造影的患者中，这种异常的发生率为0.0024-0.066%。它通常是一种孤立的异常，大多数患者是偶然发现的。利普顿分类法被广泛用于对这种异常进行分类。大多数病例通过计算机断层扫描和/或冠状动脉造影检测到，并采用药物治疗。在此，我们报告一例罕见的RII-B型病例，该患者因严重的三支血管病变表现为急性心肌梗死而接受了冠状动脉旁路移植术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5d/8634322/a2109e73611c/rjab516f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5d/8634322/17b69e57cb3e/rjab516f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5d/8634322/a2109e73611c/rjab516f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5d/8634322/17b69e57cb3e/rjab516f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5d/8634322/a2109e73611c/rjab516f2.jpg

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本文引用的文献

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Prevalence, Spectrum, and Outcomes of Single Coronary Artery Detected on Coronary Computed Tomography Angiography (CCTA).冠状动脉计算机断层扫描血管造影（CCTA）检测出的单支冠状动脉的患病率、谱系及结果
Radiol Res Pract. 2019 Aug 6;2019:2940148. doi: 10.1155/2019/2940148. eCollection 2019.
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