摘要
右冠状动脉异位起源于左前降支是非常罕见的先天性异常,作为间隔支分支的右冠状动脉临床少有报道。本文报道1例此罕见病例,患者52岁女性,因“突发心前区疼痛4 h,晕厥1次”就诊,心电图提示V1~V4,V3R、V4R、V5R导联ST段抬高约0.1~0.3mV,血压63/40mmHg,考虑诊断为急性前壁、右心室ST段抬高型心肌梗死,心原性休克。予主动脉内球囊反搏(IABP)辅助下行急诊经皮冠状动脉介入治疗,处理罪犯病变时意外发现右冠状动脉作为一分支血管异位起源于第二间隔支开口处。
Aberration of the right coronary artery from the left anterior descending is a very rare congenital anomaly.The anomalous the right coronary artery,as a branch of the septal branch,has not been reported clinically.This article reports such rare case.A 52-year-old female was admitted due to“sudden chest pain and confusion for 4 hours”.The ECG showed that the ST-segment of leads(V1-V4,V3R,V4R and V5R)were elevated about 0.1–0.3 mV.The blood pressure was 63/53 mmHg.She was diagnosed as cardiogenic shock second to acute anterior and right ventricular ST-segment elevation myocardial infarction.Emergency coronary angiography was performed after intra-aortic ballon pump was implanted to assist circulation.During the treatment of the culprit vessel,it was accidentally found that the right coronary artery,as a branch vessel,originated from the ostium of the second septal branch of the anterior descending artery.
作者
邹育海
李爱敏
何建新
张金霞
ZOU Yu-hai;LI Ai-min;HE Jian-xin;ZHANG Jin-xia(Department of Cardiology,General Hospital of Southern Theatre Command,Guangzhou 510010,China)
出处
《中国介入心脏病学杂志》
CSCD
2024年第9期538-540,共3页
Chinese Journal of Interventional Cardiology
基金
广州市科技计划项目(2023B01J1011)。
关键词
右冠状动脉异位起源
左前降支
间隔支
急性心肌梗死
心原性休克
Anomalous origin of the right coronary artery
Left anterior descending
Septal branch of anterior descending branch
Acute myocardial infarction
Cardiogenic shock
