Fukushima Naoya, Maeda Jun, Matsuoka Kentaro, Yoshimura Yukihiro
Department of Cardiology, Tokyo Metropolitan Children's Medical Center, Fuchu, Tokyo, Japan.
Department of Pediatrics, Hiratsuka City Hospital, Hiratsuka, Kanagawa, Japan.
J Cardiol Cases. 2022 Jan 20;25(6):381-384. doi: 10.1016/j.jccase.2022.01.001. eCollection 2022 Jun.
Preoperatively determining the intramural aortic course in a case of anomalous origin of single coronary artery from the right pulmonary artery is important for planning surgery, such as the unroofing technique. A thin wall separating the ascending aorta from the common coronary artery on transthoracic echocardiography and a crescent-shaped cross-section of the common coronary artery on computed tomography demonstrate an intramural aortic course of the common coronary artery. We present herein a case of anomalous origin of single coronary artery from the right pulmonary artery with an intramural aortic course and review eight other reported cases. < Some cases of anomalous origin of single coronary artery from the right pulmonary artery may involve an intramural aortic course of the common coronary artery. Preoperative diagnosis of the intramural aortic course, for which transthoracic echocardiography and computed tomography are useful, may be important for planning surgery, such as the unroofing technique.>.
对于单支冠状动脉起源于右肺动脉的病例，术前确定冠状动脉在主动脉壁内的走行对于手术规划（如开窗技术）很重要。经胸超声心动图显示升主动脉与共同冠状动脉之间有一薄壁分隔，计算机断层扫描显示共同冠状动脉呈新月形横截面，提示共同冠状动脉走行于主动脉壁内。我们在此报告一例单支冠状动脉起源于右肺动脉且走行于主动脉壁内的病例，并回顾其他8例已报道病例。<部分单支冠状动脉起源于右肺动脉的病例可能涉及共同冠状动脉走行于主动脉壁内。术前通过经胸超声心动图和计算机断层扫描诊断主动脉壁内走行对于手术规划（如开窗技术）可能很重要。>
