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左冠状动脉起源于右冠状动脉窦异常。

Anomalous Origin of the Left Main Coronary Artery from the Right Coronary Sinus.

作者信息

Kumar Devesh, Aggarwal Kartik, Suman Saurav, Garg Prerna, Yadav Satyavir

机构信息

Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.

Cardiology, All India Institute of Medical Sciences, New Delhi, New Delhi, IND.

出版信息

Cureus. 2025 Mar 22;17(3):e80995. doi: 10.7759/cureus.80995. eCollection 2025 Mar.

DOI:10.7759/cureus.80995
PMID:40260351
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12011058/
Abstract

An elderly gentleman in his 60s presented with angina on exertion and dyspnea on exertion (NYHA class 3). On evaluation, he was found to have significant obstructive triple vessel disease. He also had an anomalous origin of the left main from the right coronary sinus with a long and tortuous left main coronary artery, which was seen to be running anterior to the pulmonary artery. He was treated with coronary artery bypass grafting with three grafts and re-implantation of the left main coronary artery to the left coronary sinus and was discharged with no postoperative complaints. This case report highlights a unique presentation of coronary artery anomaly in an elderly patient and underscores the importance of timely diagnosis and intervention.

摘要

一位60多岁的老年男性因劳力性心绞痛和劳力性呼吸困难（纽约心脏协会心功能分级3级）前来就诊。经评估，发现他患有严重的梗阻性三支血管病变。他还存在左主干从右冠状动脉窦异常起源，左主干冠状动脉长且迂曲，走行于肺动脉前方。他接受了三支血管的冠状动脉旁路移植术，并将左主干冠状动脉重新植入左冠状动脉窦，术后无任何不适出院。本病例报告强调了老年患者冠状动脉异常的独特表现，并突出了及时诊断和干预的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8443/12011058/99979606f70f/cureus-0017-00000080995-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8443/12011058/7d068aa01f0e/cureus-0017-00000080995-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8443/12011058/3481e64e963d/cureus-0017-00000080995-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8443/12011058/fefef4320109/cureus-0017-00000080995-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8443/12011058/99979606f70f/cureus-0017-00000080995-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8443/12011058/7d068aa01f0e/cureus-0017-00000080995-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8443/12011058/3481e64e963d/cureus-0017-00000080995-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8443/12011058/fefef4320109/cureus-0017-00000080995-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8443/12011058/99979606f70f/cureus-0017-00000080995-i04.jpg

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Anomalous origin of the right coronary artery: right internal thoracic artery to right coronary artery bypass is not the answer.右冠状动脉异常起源：右胸廓内动脉至右冠状动脉旁路移植术并非解决之道。
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