右冠状动脉异常起源。
Anomalous origin of the right coronary artery.
作者信息
Malik Muhammad K, Suryadevara Ramya, Malik Muhammad F
机构信息
Division of Internal Medicine, Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL, 60153 USA.
Saint Thomas Rutherford Hospital, Murfreesboro, TN, 37129 USA.
出版信息
Radiol Case Rep. 2023 Sep 28;18(12):4338-4340. doi: 10.1016/j.radcr.2023.09.017. eCollection 2023 Dec.
Coronary artery anomalies are congenital variations of the origin(s), course(s), and terminations(s) of the 3 main epicardial coronary arteries that make up less than 1% of cases. Clinically, coronary artery anomalies can be asymptomatic or present with dyspnea, chest pain, and even sudden cardiac death. In this report, we discuss the case of a patient who was found to have a rare presentation of an anomalous right coronary artery originating from the anterior ascending aorta 20.9 mm above the sino-tubular junction that was discovered on coronary CT angiography.
冠状动脉异常是构成不到1%病例的3条主要心外膜冠状动脉的起源、走行和终止的先天性变异。临床上，冠状动脉异常可以无症状，或表现为呼吸困难、胸痛，甚至心源性猝死。在本报告中，我们讨论了一例患者的病例，该患者在冠状动脉CT血管造影中被发现有罕见的右冠状动脉起源于窦管交界处上方20.9毫米处的升主动脉前部。
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