CT检测81岁女性患者的异常左回旋支冠状动脉起源于肺动脉（ALXCAPA）。
CT Detection of an Anomalous Left Circumflex Coronary Artery from Pulmonary Artery (ALXCAPA) in 81-Year-Old Female Patient.
作者信息
Pop Marian, Kakucs Zsófia, Coman Simona
机构信息
ME1 Department, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Târgu Mureș, Romania.
Emergency Institute for Cardiovascular Disease and Transplant of Targu Mures, 540136 Târgu Mureș, Romania.
出版信息
J Clin Med. 2022 Dec 28;12(1):226. doi: 10.3390/jcm12010226.
BACKGROUND
The left circumflex coronary artery from the pulmonary artery is a very rare congenital anomaly with few cases described, so far, worldwide.
CASE REPORT
An 81-year-old female presented complaining of dyspnea. The transthoracic echocardiogram revealed severe degenerative aortic stenosis in addition to a hypertrophied left ventricle with normal function and no wall motion abnormalities. As part of the pre-TAVI planning, she underwent a CT examination, which revealed an anomalous left circumflex artery originating from the right pulmonary artery. The case is currently being managed conservatively.
CONCLUSION
The presented congenital coronary anomaly is, to our knowledge, the first to be described in the literature in this age group (80+).
背景
发自肺动脉的左旋冠状动脉是一种非常罕见的先天性异常，迄今为止，全球范围内报道的病例很少。
病例报告
一名81岁女性因呼吸困难就诊。经胸超声心动图显示，除左心室肥厚、功能正常且无室壁运动异常外，还存在严重的退行性主动脉瓣狭窄。作为经导管主动脉瓣置入术（TAVI）术前规划的一部分，她接受了CT检查，结果显示左旋冠状动脉异常起源于右肺动脉。该病例目前正在接受保守治疗。
结论
据我们所知，本文所呈现的先天性冠状动脉异常是该年龄组（80岁以上）文献中首次描述的病例。
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