Majdalany David S, Blickenstaff Elaina A, Marcotte Francois, Anderson Jason H
Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Joan C. Edwards School of Medicine, Marshall University, One John Marshall Drive, Huntington, WV 25755, USA.
Diagnostics (Basel). 2025 Sep 4;15(17):2241. doi: 10.3390/diagnostics15172241.
Coronary anomalies, although rare, should be considered when young patients present with angina. Clinical suspicion and multi-modality imaging including coronary angiography and tomographic imaging should be pursued for symptomatic patients such as the one we are presenting with anomalous right coronary artery from the pulmonary artery. She was promptly referred for surgical intervention with re-implantation of the right coronary artery onto the aorta.
冠状动脉异常虽然罕见，但在年轻患者出现心绞痛时应予以考虑。对于有症状的患者，如我们所呈现的起源于肺动脉的右冠状动脉异常的患者，应进行临床怀疑并采用包括冠状动脉造影和断层成像在内的多模态成像检查。她被迅速转诊接受手术干预，将右冠状动脉重新移植到主动脉上。
