Clinic for Cardiac Surgery, University Heart Center, University Hospital Zurich, Zurich, Switzerland.
Department of Congenital Cardiovascular Surgery, University Children's Hospital Zurich, Zurich, Switzerland.
World J Pediatr Congenit Heart Surg. 2023 May;14(3):399-402. doi: 10.1177/21501351231151664. Epub 2023 Mar 9.
Anomalous origin of the left circumflex coronary artery from the right pulmonary artery is an extremely rare coronary anomaly out of the group of anomalous coronary arteries arising from the pulmonary artery. We present the case of a 27-year-old male, in whom the diagnosis of an anomalous left circumflex coronary artery from the pulmonary artery was made after sudden cardiac arrest. The diagnosis was confirmed by multimodal imaging and the patient underwent successful surgical correction. Abnormal origins of a coronary artery may become symptomatic later in life and may occur as an isolated cardiac malformation. Due to a potentially unfavorable clinical course, surgical correction should be considered as soon as a diagnosis is made.
左旋支冠状动脉发自右肺动脉是一种极其罕见的冠状动脉异常，属于起自肺动脉的异常冠状动脉中的一种。我们报告了 1 例 27 岁男性病例，该患者因心脏骤停后诊断为左旋支冠状动脉发自肺动脉。该诊断通过多模式成像得到证实，患者成功接受了手术矫正。冠状动脉异常起源在以后的生活中可能会出现症状，并且可能作为孤立性心脏畸形出现。由于潜在的不良临床过程，一旦诊断出这种疾病，就应考虑进行手术矫正。
