Malik Waseem, Younis Hasan, Ponappan Benny, Bashir Khalid, Elmoheen Amr
Emergency Department, Hamad Medical Corporation, Doha, QAT.
Qatar University Health, College of Medicine, Qatar University, Doha, QAT.
Cureus. 2022 Jun 8;14(6):e25771. doi: 10.7759/cureus.25771. eCollection 2022 Jun.
Congenital anomalies of the origin of the coronary arteries are rare. Multiple anomalies have been reported where the common one is left circumflex arising from the right sinus of Valsalva (RSV). Other anomalies are a single coronary artery from the left sinus of Valsalva, both coronary arteries originating from RSV, and the left anterior descending from RSV. The left main coronary artery originating from RSV is significant as it carries a high risk of sudden cardiac death. We report here the case of one child who was brought in a cardiac arrest to the emergency department of our hospital. After successful resuscitation and further workup during his stay in the hospital, it was found that he had the left main coronary artery originating from the right Valsalva sinus.
冠状动脉起源的先天性异常很罕见。已报道过多种异常情况，其中常见的是左旋支起源于瓦尔萨尔瓦右窦（RSV）。其他异常包括起源于瓦尔萨尔瓦左窦的单支冠状动脉、两支冠状动脉均起源于RSV以及起源于RSV的左前降支。起源于RSV的左主冠状动脉意义重大，因为它伴有心脏性猝死的高风险。我们在此报告一名因心脏骤停被送至我院急诊科的儿童病例。在成功复苏并于住院期间进一步检查后，发现他的左主冠状动脉起源于右瓦尔萨尔瓦窦。
