Suzuki Takanori, Miyagawa-Tomita Sachiko, Saito Kazuyoshi, Yoshikawa Tetsushi, Kawai Satoru, Yasuda Kazushi
Department of Pediatric Cardiology, Aichi Children's Health and Medical Center, Aichi, Japan.
Department of Pediatrics, School of Medicine, Fujita Health University, Aichi, Japan.
J Cardiol Cases. 2022 Apr 7;26(2):88-91. doi: 10.1016/j.jccase.2022.03.005. eCollection 2022 Aug.
We describe the case of a young patient with atresia of the right coronary arterial ostium with left ventricular fistula. This was suspected from the abnormality detected on a 12‑lead electrocardiogram (ECG) during a school examination at the time of admission to junior high school and echocardiography findings. This disease may occur due to abnormalities in several molecules that are essential for coronary artery development. In cases of ECG abnormality, and unexplained aortic valve regurgitation and coronary artery abnormalities on echocardiography are detected, this disease should be suspected.
Coronary artery anomalies have been identified in coronary angiograms. Herein, we describe the case of a young patient with atresia of the right coronary arterial ostium with left ventricular fistula. This disease may be caused by abnormalities in several molecules that are essential molecule for coronary artery development.
我们描述了一例患有右冠状动脉口闭锁合并左心室瘘的年轻患者的病例。这是在初中入学时学校检查期间通过12导联心电图（ECG）检测到的异常以及超声心动图检查结果而怀疑的。这种疾病可能是由于冠状动脉发育所必需的几种分子异常而发生的。在出现心电图异常、超声心动图检测到无法解释的主动脉瓣反流和冠状动脉异常的情况下，应怀疑这种疾病。
冠状动脉异常已在冠状动脉造影中得到确认。在此，我们描述了一例患有右冠状动脉口闭锁合并左心室瘘的年轻患者的病例。这种疾病可能是由冠状动脉发育所必需的几种分子异常引起的。
