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一名年轻运动员的左冠状动脉异常：心脏性猝死的罕见原因。

Anomalous Left Main Coronary Artery in a Young Athlete: A Rare Cause of Sudden Cardiac Death.

作者信息

Van Kha Cong, Gustafson Mark, Thomas Caitlin, Hunt Amy E

机构信息

Emergency Department, West Virginia School of Osteopathic Medicine, Lewisburg, USA.

Emergency Medicine Department, Charleston Area Medical Center, Charleston, USA.

出版信息

Cureus. 2025 Aug 1;17(8):e89209. doi: 10.7759/cureus.89209. eCollection 2025 Aug.

DOI:10.7759/cureus.89209
PMID:40895653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12399043/
Abstract

Sudden cardiac death (SCD) in young individuals raises serious concern, prompting physicians to explore multiple etiologies. Coronary artery anomalies are rare congenital heart defects, affecting a small percentage of the population, and are a known cause of SCD in young individuals. We present a case of sudden cardiac arrest in a 36-year-old male athlete with an anomalous left main coronary artery (ALCA) arising from the right coronary sinus, a rare anomaly that has been associated with SCD in young athletes during intense exertion. This cause underscores the importance of considering congenital artery anomalies in young patients presenting with SCD.

摘要

年轻人的心脏性猝死（SCD）引起了严重关注，促使医生探索多种病因。冠状动脉异常是罕见的先天性心脏缺陷，影响人群的比例较小，是年轻人SCD的已知病因。我们报告一例36岁男性运动员心脏骤停病例，其左冠状动脉主干（ALCA）起源于右冠状动脉窦，这是一种罕见的异常情况，与年轻运动员在剧烈运动时发生SCD有关。这一病因凸显了在出现SCD的年轻患者中考虑先天性动脉异常的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1af9/12399043/5e0f2b448bec/cureus-0017-00000089209-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1af9/12399043/74dabafafd26/cureus-0017-00000089209-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1af9/12399043/af48fea6e67a/cureus-0017-00000089209-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1af9/12399043/5be93fa8e6ff/cureus-0017-00000089209-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1af9/12399043/5e0f2b448bec/cureus-0017-00000089209-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1af9/12399043/74dabafafd26/cureus-0017-00000089209-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1af9/12399043/af48fea6e67a/cureus-0017-00000089209-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1af9/12399043/5be93fa8e6ff/cureus-0017-00000089209-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1af9/12399043/5e0f2b448bec/cureus-0017-00000089209-i04.jpg

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