Kamata S, Mieda T, Funaki S, Okada T, Kawada T, Yamate N
Third Department of Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Apr;42(4):629-31.
A 47-year-old man was admitted with suddenly developed chest pain. Coronary arteriography could not identify the right coronary orifice at the right coronary sinus. Left coronary arteriography revealed that the right coronary artery originated from a proximal segment of the left anterior descending artery with subtotal obstruction at the segment just distal to the bifurcation of the right and anterior descending arteries. Coronary artery bypass grafting to the middle segment of the left anterior descending artery was carried out with satisfactory result. To our knowledge, only seven cases with a diagnosis of single coronary artery who underwent coronary artery bypass grafting have been reported.
一名47岁男性因突发胸痛入院。冠状动脉造影未能在右冠状动脉窦处识别出右冠状动脉口。左冠状动脉造影显示右冠状动脉起源于左前降支近端，在右冠状动脉与前降支分叉远端的节段存在次全阻塞。对左前降支中段进行了冠状动脉搭桥术，效果满意。据我们所知，仅有7例诊断为单支冠状动脉并接受冠状动脉搭桥术的病例被报道。
