Gómez-Aldaraví Gutiérrez R, Muñoz Gil J, Sanchís Forés J, Insa Pérez L, Casans Tormo I, Valls Serral A, Chorro Gascó F J, López Merino V
Servicio de Cardiología, Hospital Clínico Universitario, Valencia.
Rev Esp Cardiol. 1998 Oct;51(10):847-9. doi: 10.1016/s0300-8932(98)74830-4.
The presence of a congenital anomaly in coronary arteries can be the cause of a defective coronary flow and ischaemic symptoms. Although they are rare, we must suspect them in the presence of major cardiac events in young people. A single coronary artery is present if the entire coronary system arises from a solitary ostium. Its presence is regarded as having little clinical significance and it is usually a fortuitous finding on coronary angiography. We report the case of a patient with effort anginal symptoms, with a single coronary artery arising from the right sinus of Valsalva without obstructive atherosclerotic lesions.
冠状动脉先天性异常的存在可能是冠状动脉血流缺陷和缺血症状的原因。尽管它们很罕见，但在年轻人发生重大心脏事件时我们必须怀疑它们。如果整个冠状动脉系统起源于一个单独的开口，则存在单支冠状动脉。其存在被认为临床意义不大，通常是冠状动脉造影时的偶然发现。我们报告一例有劳力性心绞痛症状的患者，其单支冠状动脉起源于瓦尔萨尔瓦右窦，无阻塞性动脉粥样硬化病变。
