Madea B, Dettmeyer R
Institute of Forensic Medicine, University of Bonn, Germany.
Forensic Sci Int. 1998 Sep 28;96(2-3):91-100. doi: 10.1016/s0379-0738(98)00113-3.
Ectopic origin of the left coronary artery from the right sinus of valsalva with anterior and posterior courses are thought to be benign anomalies.
a 58-year-old woman died suddenly after a car accident without having sustained any injuries. The only abnormal finding was an ectopic origin of the left coronary artery from the right sinus with anterior free wall course. The anomaly was complicated by the absence of a left descending branch and a hypoplastic circumflex artery. A 38-year-old male died suddenly during work. Beside the ostium of the right coronary artery originated the normal calibered circumflex branch of the left coronary artery which passed behind the aorta. The left anterior descending branch had a normal origin. There was a 2 cm in diameter transmural infarct observed microscopically.
起源于右冠窦的左冠状动脉走行于前方和后方被认为是良性异常。
一名58岁女性在车祸后突然死亡，未受任何损伤。唯一的异常发现是左冠状动脉起源于右冠窦并走行于前游离壁。该异常合并左前降支缺如和回旋支发育不良。一名38岁男性在工作期间突然死亡。在右冠状动脉开口旁起源了正常管径的左冠状动脉回旋支，其走行于主动脉后方。左前降支起源正常。显微镜下观察到直径2厘米的透壁梗死。
