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右冠状动脉异常起源于主动脉的病例研究。

A Case Study of Aberrant Aortic Origin of the Right Coronary Artery.

作者信息

Badodiyawala Jenab Hojefa, Meher Arpita, Shah Raju, Dasari Bipin Chandra Aditya

机构信息

Department of Medicine, David Tvildiani Medical University, Tbilisi, Georgia.

Department of Medicine, Tbilisi State Medical University, Tbilisi Georgia.

出版信息

Discoveries (Craiova). 2024 Mar 31;12(1):e184. doi: 10.15190/d.2024.3. eCollection 2024 Jan-Mar.

DOI:10.15190/d.2024.3
PMID:39737215
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11682872/
Abstract

This case report examines a rare cardiovascular abnormality, the Aberrant Aortic Origin of the Right Coronary Artery (AAORCA), in a 75-year-old patient with a history of myocardial infarction, acute renal injury, and cardiogenic shock. Rapid medical intervention, including coronary angioplasty, demonstrated the significance of prompt care. Chronic issues, including tobacco use and left ventricular dysfunction, complicated matters, emphasizing the importance of comprehensive long- term therapy. This study underscores the critical clinical significance of AAORCA (Anomalous aortic origin of the right coronary artery) following the SCARE 2023 reporting criteria. This abstract emphasizes the delicate relationship between congenital defects, chronic hazards, and proactive healthcare in complex cardiovascular situations.

摘要

本病例报告研究了一名75岁有心肌梗死、急性肾损伤和心源性休克病史患者中一种罕见的心血管异常情况，即右冠状动脉异常起源于主动脉（AAORCA）。包括冠状动脉血管成形术在内的快速医疗干预显示了及时治疗的重要性。包括吸烟和左心室功能障碍在内的慢性问题使情况变得复杂，凸显了全面长期治疗的重要性。本研究根据2023年SCARE报告标准强调了右冠状动脉异常起源于主动脉（AAORCA）的关键临床意义。本摘要强调了先天性缺陷、慢性危险因素与复杂心血管情况下积极医疗保健之间的微妙关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df8c/11682872/733cfd9f41c2/discoveries-12-184-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df8c/11682872/fa9a112e18c9/discoveries-12-184-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df8c/11682872/763a0be02706/discoveries-12-184-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df8c/11682872/785f29c9fb0c/discoveries-12-184-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df8c/11682872/733cfd9f41c2/discoveries-12-184-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df8c/11682872/fa9a112e18c9/discoveries-12-184-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df8c/11682872/763a0be02706/discoveries-12-184-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df8c/11682872/785f29c9fb0c/discoveries-12-184-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df8c/11682872/733cfd9f41c2/discoveries-12-184-g004.jpg

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本文引用的文献

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The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines.SCARE 2023 指南：更新共识外科病例报告（SCARE）指南。
Int J Surg. 2023 May 1;109(5):1136-1140. doi: 10.1097/JS9.0000000000000373.
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Anomalous right coronary artery with interarterial course depicting an unusual case of an electrical storm: a case presentation.异常右冠状动脉伴动脉间走行，表现为电风暴的不寻常病例：病例报告。
BMC Cardiovasc Disord. 2020 Apr 22;20(1):192. doi: 10.1186/s12872-020-01486-1.
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先天性冠状动脉畸形：超声心动图评估与外科相关性。
JACC Cardiovasc Imaging. 2015 Nov;8(11):1239-49. doi: 10.1016/j.jcmg.2015.04.027.
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The distribution and prognosis of anomalous coronary arteries identified by cardiovascular magnetic resonance: 15 year experience from two tertiary centres.心血管磁共振识别的异常冠状动脉的分布和预后：两个三级中心的 15 年经验。
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Anomalous origin of the right coronary artery from the left coronary sinus with an interarterial course: subtypes and clinical importance.右冠状动脉异常起源于左冠状窦伴主动脉瓣窦下走行：亚型与临床意义。
Radiology. 2012 Jan;262(1):101-8. doi: 10.1148/radiol.11110823. Epub 2011 Nov 4.
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Anomalous origin of right coronary artery associated with hypertrophic obstructive cardiomyopathy.右冠状动脉异常起源并伴发肥厚型梗阻性心肌病。
Am J Med Sci. 2011 Oct;342(4):341-2. doi: 10.1097/MAJ.0b013e318222b607.
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Anomalous origin of the right coronary artery from the left sinus of Valsalva associated with syncope in a young athlete.一名年轻运动员出现与晕厥相关的右冠状动脉起源于左冠窦异常。
Proc (Bayl Univ Med Cent). 2011 Jan;24(1):13-4. doi: 10.1080/08998280.2011.11928675.
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Anomalous aortic origin of a coronary artery with an interarterial course: understanding current management strategies in children and young adults.冠状动脉异常起源于主动脉并走行于动脉之间：了解儿童和青年的当前管理策略。
Pediatr Cardiol. 2009 Oct;30(7):911-21. doi: 10.1007/s00246-009-9461-y. Epub 2009 Jun 2.
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ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons.美国心脏病学会/美国心脏协会2008年成人先天性心脏病管理指南：美国心脏病学会/美国心脏协会实践指南工作组（制定成人先天性心脏病管理指南写作委员会）报告。与美国超声心动图学会、心律学会、国际成人先天性心脏病学会、心血管造影和介入学会以及胸外科医师学会合作制定。
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