一个单一的冠状动脉从左冠状 sinus:持续的难题
Dibyasundar Mahanta1, Deepak Kumar Parhi1, Shilpa Vinayak Gadade1
1Department of Cardiology, SUM Hospital, Bhubaneswar, IND.
Cureus
|October 26, 2023
概括
在一名患有心肌梗塞的老年患者身上发现了一种罕见的单一冠状动脉异常. 这种先天性心脏变异,起源于左侧鼻,在干预性心脏病学中提出了诊断挑战.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 单冠状动脉是一种罕见的先天性异常.
- 它的发病率在患有先天性心脏病的患者中更高.
- 异常的冠状动脉起源可能会使干预程序复杂化.
研究的目的:
- 报告一种极其罕见的单一冠状动脉病例.
- 描述它在一个八十多岁的心肌梗塞患者中的表现.
- 讨论诊断和干预方面的挑战.
主要方法:
- 一个八十多岁的病人病例报告.
- 诊断冠状动脉血管学.
- 干预性心脏病手术 干预性心脏病手术.
主要成果:
- 一个单一的冠状动脉从左冠状动脉鼻产生的被确定.
- 这位患者出现了前壁非ST升高心肌梗塞 (NSTEMI).
- 靠近左主冠状动脉 (LMCA) 的动脉样硬化阻塞是原因.
结论:
- 单个冠状动脉是一种罕见的发现,特别是在没有先天性心脏病的老年患者中.
- 异常起源对选择性导管插入提出了挑战.
- 非选择性冠状动脉鼻腔注射可以帮助可视化单个冠状动脉解剖学和相关病理.
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