Kothari S S, Talwar K K, Venugopal P
Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi.
Int J Cardiol. 1998 Sep 30;66(2):207-9. doi: 10.1016/s0167-5273(98)00218-6.
A 42-year-old man with resistant ventricular tachycardia was found to have an anomalous origin of the left main coronary artery from the right aortic sinus that pursued an intramyocardial course through the ventricular septum. The tachycardia resolved after coronary artery bypass graft to otherwise normal left anterior descending and circumflex coronary arteries. Septal course of an anomalous left main coronary artery from right aortic sinus should not always be considered benign.
一名42岁患有顽固性室性心动过速的男性被发现左主冠状动脉起源异常,发自右主动脉窦,并穿间隔走行于心肌内。在对原本正常的左前降支和左旋支冠状动脉进行冠状动脉搭桥术后,室性心动过速得到缓解。右主动脉窦发出的左主冠状动脉穿间隔走行并不总是被认为是良性的。