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经皮冠状动脉介入治疗罕见的双回旋支冠状动脉伴急性心肌梗死病例

Percutaneous Coronary Intervention in an Extremely Rare Case of Double Circumflex Coronary Arteries With Acute Myocardial Infarction.

作者信息

Sidhu Navdeep S, Kaur Sumandeep

机构信息

Cardiology, Guru Gobind Singh Medical College and Baba Farid University of Health Sciences, Faridkot, IND.

Nursing Sciences, Baba Farid University of Health Sciences, Faridkot, IND.

出版信息

Cureus. 2022 Mar 11;14(3):e23073. doi: 10.7759/cureus.23073. eCollection 2022 Mar.

DOI:10.7759/cureus.23073
PMID:35464567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9001087/
Abstract

The anomalous origin of the left circumflex (Cx) artery (LCX) from the right coronary sinus or the right coronary artery (RCA) has been reported as one of the most common congenital coronary anomalies. However, the occurrence of double or twin Cx coronary arteries has been sparsely reported in the literature. We describe a rare case of a middle-aged male with acute myocardial infarction (MI) who had double Cx coronary arteries, one arising from the RCA and the other from the left main coronary artery. He underwent successful angioplasty with the stenting of the culprit right Cx artery (RCX).

摘要

左旋支(Cx)动脉起源于右冠状动脉窦或右冠状动脉(RCA)的异常情况已被报道为最常见的先天性冠状动脉异常之一。然而,双支或孪生Cx冠状动脉的情况在文献中鲜有报道。我们描述了一例罕见的中年男性急性心肌梗死(MI)病例,该患者有双支Cx冠状动脉,一支起源于RCA,另一支起源于左冠状动脉主干。他接受了成功的血管成形术,并对罪犯血管右Cx动脉(RCX)进行了支架置入。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edb0/9001087/441502427565/cureus-0014-00000023073-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edb0/9001087/65ad8c2f6030/cureus-0014-00000023073-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edb0/9001087/61ce93dbcd42/cureus-0014-00000023073-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edb0/9001087/b9c346a82eb4/cureus-0014-00000023073-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edb0/9001087/441502427565/cureus-0014-00000023073-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edb0/9001087/65ad8c2f6030/cureus-0014-00000023073-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edb0/9001087/61ce93dbcd42/cureus-0014-00000023073-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edb0/9001087/b9c346a82eb4/cureus-0014-00000023073-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edb0/9001087/441502427565/cureus-0014-00000023073-i04.jpg

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本文引用的文献

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A very rare coronary artery anomaly: Twin circumflex arteries associated with acute coronary syndrome - two cases report.一种非常罕见的冠状动脉异常:双回旋支动脉与急性冠状动脉综合征相关——两例报告。
Arch Clin Cases. 2021 Oct 27;7(2):22-27. doi: 10.22551/2020.27.0702.10168. eCollection 2020.
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Incidence, Characteristics and Atherosclerotic Involvement of Coronary Artery Anomalies in Adult Population Undergoing Catheter Coronary Angiography.接受导管冠状动脉造影的成年人群中冠状动脉异常的发生率、特征及动脉粥样硬化累及情况
Cardiol Res. 2019 Dec;10(6):358-368. doi: 10.14740/cr941. Epub 2019 Nov 24.
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Twin Circumflex Arteries: A Rare Coronary Artery Anomaly.
双回旋支动脉:一种罕见的冠状动脉异常。
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Primary Percutaneous Coronary Intervention Angioplasty of Occluded Twin Circumflex Coronary Artery in a Patient of Acute Inferior Wall Myocardial Infarction: A Rare Anomaly.急性下壁心肌梗死患者闭塞的双回旋支冠状动脉的初次经皮冠状动脉介入血管成形术:一种罕见的异常情况
Cardiol Res. 2017 Apr;8(2):52-56. doi: 10.14740/cr530w. Epub 2017 May 3.
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A Very Rare Coronary Artery Anomaly: Two Circumflex Arteries Originating From Both Right and Left Coronary Sinuses of Valsalva.一种非常罕见的冠状动脉异常:两条回旋支动脉分别起源于左、右冠状动脉窦。
Cardiol Res. 2015 Apr;6(2):255-256. doi: 10.14740/cr381w. Epub 2015 Apr 6.
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Transradial Percutaneous Coronary Intervention in a Patient with a Rare Coronary Anomaly: Twin Circumflex Arteries.一名患有罕见冠状动脉异常(双回旋支动脉)患者的经桡动脉冠状动脉介入治疗
Acta Cardiol Sin. 2015 Jan;31(1):72-4. doi: 10.6515/acs20140310d.
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Anomalous twin circumflex artery in a 47-year-old Indian female.一名47岁印度女性的异常旋支动脉。
Indian Heart J. 2015 Dec;67 Suppl 3(Suppl 3):S24-5. doi: 10.1016/j.ihj.2015.09.037. Epub 2015 Dec 18.
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Clin Pract. 2011 Apr 19;1(2):e22. doi: 10.4081/cp.2011.e22. eCollection 2011 May 16.
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Twin left circumflex arteries in a patient undergoing aortic valve replacement.一名接受主动脉瓣置换术的患者出现双左回旋支动脉。
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