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非冠状动脉瓣叶起源的异常左冠状动脉导致的急性心肌梗死和心脏骤停

Acute myocardial infarction and sudden cardiac arrest caused by anomalous left coronary artery arising from the noncoronary cusp.

作者信息

Yamada Takahiro, Hattori Hidetoshi, Kikuchi Noriko, Haruki Shintaro, Minami Yuichiro, Ichihara Yuki, Saito Satoshi, Nunoda Shinichi, Niinami Hiroshi, Hagiwara Nobuhisa

机构信息

Department of Cardiology, Tokyo Women's Medical University, 8-1, Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan.

Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan.

出版信息

J Cardiol Cases. 2022 Jan 3;25(5):312-315. doi: 10.1016/j.jccase.2021.11.011. eCollection 2022 May.

Abstract

Anomalous left coronary artery arising from the noncoronary cusp (LCANCC) is a rare congenital disorder. We herein describe a 17-year-old female patient with sudden cardiac arrest followed by refractory cardiogenic shock. LCANCC-induced acute myocardial infarction with left main coronary artery involvement was subsequently diagnosed, and the patient required a durable left ventricular assist device. < Anomalous left coronary artery arising from the noncoronary cusp is extremely rare, but poses a life-threatening condition. Coronary computed tomography angiography plays a crucial role for the assessment of high-risk anatomic features and decision-making for surgical repair.>.

摘要

起源于无冠窦的异常左冠状动脉(LCANCC)是一种罕见的先天性疾病。我们在此描述一名17岁女性患者,她突发心脏骤停,随后出现难治性心源性休克。随后诊断为LCANCC导致的急性心肌梗死伴左主干冠状动脉受累,该患者需要长期使用左心室辅助装置。<起源于无冠窦的异常左冠状动脉极为罕见,但会构成危及生命的状况。冠状动脉计算机断层扫描血管造影术在评估高危解剖特征和手术修复决策中起着关键作用。>

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